NPI 1699966952

Mark Heber Beazer, DMD

Practitioner General Practice Dentistry Bonners Ferry, ID

Practice location

Address: 6466 Main St, Bonners Ferry, ID 83805-8520
Phone: (208) 267-7571
Fax: (208) 267-7572

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence D3727 (ID)

Other Dentist providers in Idaho →

Registry record

NPI: 1699966952
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Aug 2007
Record last updated: 23 Nov 2022

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.