NPI 1194953588

Douglas James Beazer, DMD

Practitioner General Practice Dentistry Bonners Ferry, ID

Practice location

Address: 6526 Main St, Bonners Ferry, ID 83805-8521
Phone: (208) 267-7509

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence D 3057 (ID)

Other Dentist providers in Idaho →

Registry record

NPI: 1194953588
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jun 2009
Record last updated: 24 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.