Provider Demographics
NPI:1033604418
Name:BEIL, KATHRYN (DDS)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:
Last Name:BEIL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2719 KINGSTON PIKE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-4620
Mailing Address - Country:US
Mailing Address - Phone:865-524-1265
Mailing Address - Fax:
Practice Address - Street 1:2719 KINGSTON PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-4620
Practice Address - Country:US
Practice Address - Phone:865-973-9899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-27
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR42911223G0001X
TN109021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice