DR. BEAU LYNDON BROUSSARD DMD
NPI 1720764442
Dentist - General Practice in Crossville, TN

Q: What is Beau Broussard's NPI number?

The NPI number for Beau Broussard is 1720764442. It was assigned to this individual provider in the NPPES registry on June 27, 2023.

Q: What is Beau Broussard's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Beau Broussard was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 27, 2023

2623 HIGHWAY 70 E, CROSSVILLE, TN 38555(931) 484-9495 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Beau Lyndon Broussard Dmd NPPES

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

DR. BEAU LYNDON BROUSSARD DMD (NPI 1720764442) is an individual general practice provider in Crossville, Tennessee, licensed in Tennessee (12203) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1720764442

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. BEAU LYNDON BROUSSARDCredential: DMD

Location Address2623 HIGHWAY 70 ECrossville, TN 38555-2808

Mailing Address2623 Highway 70 ECrossville, TN 38555-2808 · (931) 484-9495

Phone(931) 484-9495

Sole ProprietorNo

Enumeration DateJune 27, 2023

NPPES CertifiedJune 27, 2023

✔ NPI 1720764442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TN · 12203

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2623 HIGHWAY 70 E, Crossville, TN 38555

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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.

TAMMY TOY BOLIN RDH

Dental Hygienist

2623 HIGHWAY 70 E
CROSSVILLE, TN 38555

Cumberland County (931) 484-9495

TENNESSEE DENTAL PROFESSIONALS, PC

Dentist (General Practice)

2623 HIGHWAY 70 E
CROSSVILLE, TN 38555

Cumberland County (931) 484-9495

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 Beau Broussard's NPI number?

The NPI number for Beau Broussard is 1720764442. It was assigned to this individual provider in the NPPES registry on June 27, 2023.

Where is Beau Broussard located?

Beau Broussard practices at 2623 Highway 70 E, Crossville, TN 38555. The listed phone number is (931) 484-9495.

What is Beau Broussard's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Beau Broussard accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 14 other insurers list Beau Broussard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beau Broussard was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.