CLARKSVILLE PEDIATRIC DENTISTRY PC NPI 1194045617

NPI Information

  • NPI: 1194045617
  • Provider Name: CLARKSVILLE PEDIATRIC DENTISTRY, PC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 2297 RUDOLPHTOWN RD
    CLARKSVILLE, TN
    ZIP 37043
  • Phone: (931) 245-3333

Map and Directions

Get Directions

NPI Details

CLARKSVILLE PEDIATRIC DENTISTRY, PC is a pediatric dentistry dentist in Clarksville, TN. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. CLARKSVILLE PEDIATRIC DENTISTRY, PC NPI is 1194045617. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2297 RUDOLPHTOWN RD
CLARKSVILLE, TN
ZIP 37043-226
Phone: (931) 245-3333
Fax: (931) 245-3334

The provider's authorized official is Karyl Jean Beauchamp .
The authorized official title is President and has the following contact phone number (931) 245-3333.

The enumeration date for this NPI number is 6/7/2010 and was last updated on 6/8/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric DentistryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10160078OTHERTENNESSEEBLUE CROSS BLUE SHIELD OF TN
2823192OTHERTENNESSEEUNITED CONCORDIA
3112051OTHERTENNESSEETENNCARE LOCATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI