Beiter, Mary Brigitte

Beiter, Mary Brigitte is an individual health care provider with primary practice located at 1210 W Braker Ln , Austin TX 78758-3801. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Beiter, Mary Brigitte can be contacted via phone (512) 978-9880.

Contact Information

Primary practice address
1210 W Braker Ln Austin TX 78758-3801
Fax: (512) 279-2556
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 12407 Texas

Profile Details

NPI number 1750497210
LBN Legal business name Beiter, Mary Brigitte
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Mar 2nd, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750497210 NPPES
Texas MEDICAID 1267932-07

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