1. Home
  2. Directory
  3. Tennessee
  4. Clarksville
  5. Dentist
  6. NPI Profile

CLARKSVILLE PEDIATRIC DENTISTRY, PC
NPI 1194045617
Dentist - Pediatric Dentistry in Clarksville, TN

Active since June 07, 2010
2297 RUDOLPHTOWN RD, CLARKSVILLE, TN 37043(931) 245-3333(931) 245-3334 Get Directions Write a Review

NPPES record last updated: June 8, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clarksville Pediatric Dentistry, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARKSVILLE PEDIATRIC DENTISTRY, PC (NPI 1194045617) is a healthcare organization registered as a pediatric dentistry in Clarksville, Tennessee and active in the NPI registry since June 2010. The organization lists Karyl Jean Beauchamp, President, as its authorized official.

NPPES Registry Identity

NPI1194045617
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCLARKSVILLE PEDIATRIC DENTISTRY, PC
Location Address2297 RUDOLPHTOWN RDClarksville, TN 37043-2226
Mailing Address2297 Rudolphtown RdClarksville, TN 37043-2226 · (931) 245-3333 · Fax (931) 245-3334
Phone(931) 245-3333
Fax(931) 245-3334
Organization SubpartNo
Authorized OfficialKaryl Jean BeauchampPresident · (931) 245-3333
Enumeration DateJune 7, 2010
Last NPPES UpdateJune 8, 2010
✔ NPI 1194045617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
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.
2297 RUDOLPHTOWN RD, Clarksville, TN 37043
Open in Google Maps ↗

Other Identifiers 3

Other0160078TN · Blue Cross Blue Shield Of Tn
Other823192TN · United Concordia
Other112051TN · Tenncare Location Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARYL JEAN BEAUCHAMP DDS
Dentist (Pediatric Dentistry)
2297 RUDOLPHTOWN RD
CLARKSVILLE, TN 37043
Montgomery County (931) 245-3333
IYSHA CAWTHON
Dentist (Pediatric Dentistry)
2297 RUDOLPHTOWN RD
CLARKSVILLE, TN 37043
Montgomery County (931) 245-3333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clarksville Pediatric Dentistry, PC's NPI number?

The NPI number for Clarksville Pediatric Dentistry, PC is 1194045617. It was assigned to this organization in the NPPES registry on June 7, 2010.

Where is Clarksville Pediatric Dentistry, PC located?

Clarksville Pediatric Dentistry, PC is located at 2297 Rudolphtown Rd, Clarksville, TN 37043. The listed phone number is (931) 245-3333.

What is Clarksville Pediatric Dentistry, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Clarksville Pediatric Dentistry, PC was last updated on June 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.