Brent H Bethers in Buckeye - Oral And Maxillofacial Surgery
Brent H Bethers - NPI 1407003650
Brent H Bethers is a Oral And Maxillofacial Surgery in Buckeye, Arizona. Brent H Bethers practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Brent H Bethers is 1407003650. The last update date is 2019-11-26.
Brent H Bethers's current location address is 20738 W Legend Trl, Buckeye, Arizona. You can contact this provider via phone number 6263767987. The mailing address for Brent H Bethers is 20738 W Legend Trl, Buckeye, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Name | Brent H Bethers |
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Address | 20738 W Legend Trl, Buckeye, Arizona |
Phone Number | 6263767987 |
Fax Number | |
Sole Proprietor | Y |
Credentials | DDS |
NPI Number Detail
NPI Number | 1407003650 |
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Provider Enumeration Date | 2008-08-19 |
Last Updated Date | 2019-11-26 |
Provider Mailing Address Detail
Address | 20738 W Legend Trl |
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City | Buckeye |
State | Arizona (AZ) |
Post Code | 853961670 |
Phone Number | 6263767987 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Oral And Maxillofacial Surgery |
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Taxonomy | 1223S0112X |
Licence No | D010233 |
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
586884 | AZ | -- |
Post Comment/ Review Below
What is the Brent H Bethers's 1407003650?
The Brent H Bethers's NPI (National Provider Identifier) Number is 1407003650. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Brent H Bethers?
The Brent H Bethers is situated at 20738 W Legend Trl, in the city of Buckeye, state of AZ, with the zip code 853961670.
What is the Brent H Bethers's specialty and taxonomy code?
The Brent H Bethers's specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services issue the 1407003650 to Brent H Bethers?
The Brent H Bethers received its 1407003650 assignment from the Centers for Medicare & Medicaid Services on 2008-08-19.
As of what date was the information regarding Brent H Bethers, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brent H Bethers, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-11-26.