Bethers, Brent H

Bethers, Brent H is an sole proprietor health care provider with primary practice located at 20738 W Legend Trl , Buckeye AZ 85396. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / General Practice. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Bethers, Brent H can be contacted via phone (626) 376-7987.

Contact Information

Primary practice address
20738 W Legend Trl Buckeye AZ 85396
Phone: (626) 376-7987
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D010233 Arizona
Dental Providers / General Practice 1223G0001X 57471 California

Profile Details

NPI number 1407003650
LBN Legal business name Bethers, Brent H
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2008
Last updated Nov 26th, 2019 - about 5 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 1407003650 NPPES
Arizona MEDICAID 586884

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