Individual
MARK E BEEHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., D.D.S.
Contact information
Practice address
9741 N 90TH PL, SCOTTSDALE, AZ 85258
(480) 657-7065
(480) 657-7066
Mailing address
27913 N WALNUT CREEK RD, RIO VERDE, AZ 85263-5243
(480) 259-5730
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
015171
MO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D008817
AZ
208600000X
Surgery Physician
37000
MO
208600000X
Surgery Physician
Primary
49215
AZ
Other
Enumeration date
10/27/2005
Last updated
05/15/2018
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