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

Dr. Beau Lyndon Broussard, DMD

Individual provider General Practice Dentistry · NPI 1720764442

Dr. Beau Lyndon Broussard, DMD is a General Practice Dentistry in Crossville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2023.

Licensed in
TN
In the registry since
2023
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

2623 Highway 70 E
Crossville, TN 38555-2808
Phone: (931) 484-9495
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 12203 (TN)

Record details

NPI number1720764442
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 27, 2023
Last updated in NPPESJune 27, 2023
Certification dateJune 27, 2023

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