DR. Beau Lyndon Broussard, DMD
NPI #1720764442 in Crossville, Tennessee
Provider Information
- NPI Number
- 1720764442
- Entity Type
- Individual
- Name
- DR. Beau Lyndon Broussard, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Jun 27, 2023
- Last Updated
- Jun 27, 2023
Practice Location
- Address
- 2623 HIGHWAY 70 E
- City
- Crossville
- State
- Tennessee
- ZIP Code
- 38555-2808
- Phone
- (931) 484-9495
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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