Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Beau John Brasseale, DDS, MSD

Individual provider General Practice Dentistry · NPI 1689836439

Dr. Beau John Brasseale, DDS, MSD is a General Practice Dentistry in Bowling Green, Kentucky. Licensed in Indiana and Kentucky. Registered with an NPI since 2008.

Licensed in
IN, KY
In the registry since
2008
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

901 Wilkinson Trce Ste #2
Bowling Green, KY 42103-2483
Phone: (270) 904-4404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 9102 (KY)
General Practice Dentistry Taxonomy 1223G0001X · Licence 12011193A (IN)

Record details

NPI number1689836439
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MSD
Sole proprietorNo
NPI enumeratedJuly 1, 2008
Last updated in NPPESOctober 14, 2011
Mailing address901 Wilkinson Trce, Suite #2, Bowling Green, KY 42103-2483

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