DR. BEAU JOHN BRASSEALE D.D.S. M.S.D. NPI 1689836439

NPI Information

NPI: 1689836439
Provider Name: DR. BEAU JOHN BRASSEALE, D.D.S., M.S.D.
Classification: Dentist - 1223E0200X
Entity Type: Individual

Specialization: Endodontics

Address:
901 WILKINSON TRCE
SUITE #2
BOWLING GREEN, KY
ZIP 42103
Phone: (270) 904-4404
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DR. Beau John Brasseale, D.D.S., M.S.D. is an endodontics dentist in Bowling Green, KY. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. DR. Beau John Brasseale, D.D.S., M.S.D. NPI is 1689836439. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

901 WILKINSON TRCE
SUITE #2
BOWLING GREEN, KY
ZIP 42103-483
Phone: (270) 904-4404

The enumeration date for this NPI number is 7/1/2008 and was last updated on 10/14/2011.

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
1	1223G0001X	Dentist	General Practice	12011193A	INDIANA	No
2	1223E0200X	Dentist	Endodontics	9102	KENTUCKY	Yes

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: 4/28/2024

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