Mark Heber Beazer in Bonners Ferry - General Practice
Mark Heber Beazer - NPI 1699966952
Mark Heber Beazer is a General Practice in Bonners Ferry, Idaho. Mark Heber Beazer practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mark Heber Beazer is 1699966952. The last update date is 2022-11-23.
Mark Heber Beazer's current location address is 6466 Main St, Bonners Ferry, Idaho. You can contact this provider via phone number 2082677571 and fax number 2082677572. The mailing address for Mark Heber Beazer is 6466 Main St, Bonners Ferry, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Heber Beazer |
|---|---|
| Address | 6466 Main St, Bonners Ferry, Idaho |
| Phone Number | 2082677571 |
| Fax Number | 2082677572 |
| Sole Proprietor | Y |
| Credentials | D.M.D |
NPI Number Detail
| NPI Number | 1699966952 |
|---|---|
| Provider Enumeration Date | 2007-08-01 |
| Last Updated Date | 2022-11-23 |
Provider Mailing Address Detail
| Address | 6466 Main St |
|---|---|
| City | Bonners Ferry |
| State | Idaho (ID) |
| Post Code | 838058520 |
| Phone Number | 2082677571 |
| Fax Number | 2082677572 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D3727 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identifier code issued to Mark Heber Beazer by the Centers for Medicare & Medicaid Services?
The Mark Heber Beazer has been assigned the NPI (National Provider Identifier) 1699966952. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mark Heber Beazer's facilities are geographically located?
The facilities of Mark Heber Beazer are physically situated at the following location: 6466 Main St, Bonners Ferry, ID, 838058520.
What is Mark Heber Beazer's area of expertise and its corresponding taxonomy classification?
The Mark Heber Beazer's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Mark Heber Beazer receive the assignment of its 1699966952 from the Centers for Medicare & Medicaid Services?
The Mark Heber Beazer was issued its 1699966952 by the Centers for Medicare & Medicaid Services on 2007-08-01.
When was the information regarding Mark Heber Beazer most recently updated?
The details pertaining to the Mark Heber Beazer, including its address, specialty, and other relevant information, were last refreshed on 2022-11-23.
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