Search › Kentucky › 1223E0200X
Beau Brasseale, D.D.S., M.S.D
NPI 1689836439 · on the registry since 2008
Practice
- Address
- 901 Wilkinson Trce
Suite #2
Bowling Green, KY 42103 - Phone
- (270) 904-4404
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223E0200X
1223E0200X
- Also registered as
- 1223G0001X
- Licence states on file
- IN, KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-10-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky