Doctor profile · Federal record
Dr. Beau Broussard, DMD
General Practice Dentistry · Crossville, TN
- NPI 1720764442
- 3 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2623 Highway 70 E
Crossville, TN 385552808
(931) 484-9495
Credentials & registration
- NPI registered
- June 2023 — 3 yrs on file
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Tennessee #12203
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1720764442. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$205
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| KULZER, LLC | 1 | $189.87 | |
| Dentsply Sirona Inc | 1 | $14.70 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
19
Patients
18
Total drug cost
$43
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 19 | 18 | $43 |
Frequently asked questions
What is Dr. Beau Broussard's medical specialty?
Dr. Beau Broussard practices General Practice Dentistry in Crossville, TN.
Where does Dr. Beau Broussard practice?
Dr. Beau Broussard practices at 2623 Highway 70 E, Crossville, TN 385552808. Office phone: 9314849495.
What is Dr. Beau Broussard's NPI?
Dr. Beau Broussard's National Provider Identifier (NPI) is 1720764442, issued by NPPES.