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Bradley Beisiegel, DDS — NPI 1720698079, Athens, TN | NPI Central

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NPI 1720698079

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Bradley Beisiegel, DDS

NPI 1720698079 · Dentist · Athens, TN

Provider details

NPI number: 1720698079
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: 105079 (CA)

Specialties & taxonomies

DentistPrimary122300000XLicense 11794 (TN)
Dental Providers
General Practice Dentistry1223G0001XLicense 105079 (CA)
Dental Providers

Practice location

1509 Congress Pkwy S

Athens, TN 37303-2803

Phone: (423) 381-6199

Approximate (ZIP-level) locationGet directions

More TN providers

Mailing address

1361 Blake Stone Dr Nw

Cleveland, TN 37312-1870

Registry dates

Enumerated: 2020-08-02
Last updated: 2024-04-24
Certified: 2024-04-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.