Beech Lake Pediatric Dentistry, Plc

NPI #1275893406 in Lexington, Tennessee

Provider Information

NPI Number
1275893406
Entity Type
Organization
Organization Name
Beech Lake Pediatric Dentistry, Plc
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
May 22, 2012
Last Updated
May 22, 2012

Practice Location

Address
10855 HIGHWAY 412 W
ZIP Code
38351-6283
Phone
(731) 968-5437

Authorized Official

Name
DR. TOMMY BURKE, DDS
Title
OWNER/DENTIST
Phone
(731) 968-5437

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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