Individual
JACK WILLIAM BEHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8200 W SUNRISE BLVD, A 1, PLANTATION, FL 33322
(954) 318-1966
(954) 473-2742
Mailing address
8200 W SUNRISE BLVD, A 1, PLANTATION, FL 33322
(954) 318-1966
(954) 473-2742
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7777
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
035149
TRICARE
—
01
—
86854
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/28/2006
Last updated
07/08/2007
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