Whalio Doctors

NPI 1003160599

Kenneth E. Beard, Dds,pc

Organisation Dentist Cleveland, TN

Practice location

Address
415 25th St NW, Cleveland, TN 37311-3892
Phone
(423) 476-6541
Fax
(423) 472-7719

Authorised official

Name
Kenneth E Beard
Title
President
Phone
(423) 476-6541

Registered specialties (2)

Dentist Primary
Dental Providers Taxonomy 122300000X Licence 2223 (TN)
Customized Equipment (DME)
Suppliers Taxonomy 332BC3200X

Registry record

NPI
1003160599
Entity type
Organization
NPI issued
5 Nov 2012
Record last updated
5 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.