DR. BRENT H BETHERS


Address: 20738 W Legend Trl, Buckeye, AZ 85396
Phone: 6263767987

DR. BRENT H BETHERS (NPI# 1407003650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407003650
Entity Type Individual
Full Name DR. BRENT H BETHERS
Credential DDS
Practice Address 20738 W Legend Trl
Buckeye
AZ 85396
Mailing Address 20738 W Legend Trl
Buckeye
AZ 85396-1670
Practice Telephone 6263767987
Mailing Telephone 6263767987
Enumeration Date 2008-08-19
Last Update Date 2019-11-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223G0001X Dentist
Specialization: General Practice
57471 CA Dental Providers
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
D010233 AZ Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ 586884 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
3295 Forney Street, Us Army Dental Activity, Fort Jackson, SC 292075780 8037516213 8037516213
7555 E Osborn Rd Ste 206, Scottsdale, AZ 852516442 4806344013 4806344020

Office Location

Street Address 20738 W LEGEND TRL
City BUCKEYE
State AZ
Zip Code 85396

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700423902 Randy Bland Respite Care 20731 W Stone Hill Road, Buckeye, AZ 85396 2019-12-06
1659875698 Arizona Dental Professionals, P.C. Dentist 4120 N 197th Ave, Buckeye, AZ 85396 2018-03-23
1407365083 Ashley Nicole Brezovsky Specialist/Technologist 21188 W Granada Rd, Buckeye, AZ 85396 2017-09-26
1205219391 Judy Jennings Home Health Aide 20470 W Delaney Dr, Buckeye, AZ 85396 2015-07-07
1437297256 Patrick Nemechek Internal Medicine 4252 N. Verrado Way, Buckeye, AZ 85396 2007-02-02
1164748612 Julie Beth Stavinoha General Practice 20955 W Hamilton St, Buckeye, AZ 85396-1518 2010-04-08
1629234828 Debra Muckler Physical Therapist 2799 N Heritage St, Buckeye, AZ 85396-1520 2008-08-06
1619386596 Professional Nutrition Consulting, Pllc Clinic/Center 2886 N Heritage St, Buckeye, AZ 85396-1522 2014-08-05
1811396997 Elisa Anne Rodriguez Nutritionist 2886 N Heritage St, Buckeye, AZ 85396-1522 2014-08-14
1467838953 Chelsea Drew Specialist/Technologist 20866 W Hamilton St, Buckeye, AZ 85396-1579 2015-08-06
Find all providers in zip 85396

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy 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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497317275 Sandstone Oral Maxillofacial Surgery Pllc Dentist 20755 W Mcdowell Rd # 111, Buckeye, AZ 85396-2070 2019-07-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255945366 Phoenix Wisdom Teeth, LLC Dentist 17037 N 43rd Ave # A4a, Glendale, AZ 85308-4026 2020-09-04
1962052035 Summit Aesthetics LLC Dentist 34209 N. Scottsdale Rd, Suite 103, Scottsdale, AZ 85266 2019-09-19
1790254183 Delsnyder Dental Corp Dentist 995 E Baseline Rd Apt 1172, Tempe, AZ 85283-1354 2018-11-15
1346717246 Robison Orthodontics LLC Dentist 1355 S Higley Rd # 105, Gilbert, AZ 85296 2018-10-29
1932674108 A. W. Ray Dds Md LLC Dentist 928 W Chandler Blvd Ste D-2, Chandler, AZ 85225-4900 2018-10-03
1457844516 Chandler Oral and Maxillofacial Surgery Dentist 1799 E Queen Creek Rd Ste 4, Chandler, AZ 85286-2015 2018-06-12
1730681776 Phoenix Oral and Maxillofacial Surgeons Dentist 9515 W Camelback Rd Ste 122, Phoenix, AZ 85037-1365 2018-03-06
1861993040 Joseph E. Pierse, Dmd, Pllc Dentist 2060 W Whispering Wind Dr Ste 167, Phoenix, AZ 85085-2869 2018-02-23
1477075653 Bertz Professional Corporation Dentist 3501 N Scottsdale Rd Ste 110, Scottsdale, AZ 85251-5649 2017-07-10
1790205987 Albert Edward Carlotti IIi Dentist 7930 E Thompson Peak Pkwy Ste 101, Scottsdale, AZ 85255-7403 2017-06-20
Find all providers with the same taxonomy

Competitor

Search similar providers

City BUCKEYE
Zip Code 85396

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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