Active NPIIndividual providerSole proprietor

Dr. Bethany Brooks, DMD

Dentist in Jacksonville, Florida

NPI Number1134672470
Practice location
Bureau Of Med And Surgery Credentials And, 554 Keily Street, Jacksonville, FL 32214-0001
Fax
—
Last updated
October 21, 2024

Bethany Brooks is a Dentist based in Jacksonville, FL. Bethany Brooks practices in Jacksonville, FL and has the professional credentials of DMD. The NPI Number for Bethany Brooks is 1134672470 and holds a License No. 04243 (NH). The current practice location address for Bethany Brooks is Bureau Of Med And Surgery Credentials And, 554 Keily Street, Jacksonville, FL 32214-0001 and can be reached out via phone at 757-953-1897.

Provider Profile Details

NPI Number
1134672470
Provider Name
Bethany Brooks
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
Bureau Of Med And Surgery Credentials And, 554 Keily Street, Jacksonville, FL 32214-0001
Phone Number
757-953-1897
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
August 3, 2016
Last Update Date
October 21, 2024
Certification Date
October 21, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
Bureau Of Med And Surgery Credentials And
554 Keily Street
Jacksonville, FL 32214-0001
State
Florida
Zip
32214-0001
Phone Number
757-953-1897
Jacksonville, FL 32214Get directions →

Provider Business Mailing Address Details

Address
359 Cyr RD
Littleton, NH 03561-3702
City
Littleton
State
NH
Zip
03561-3702
Phone Number
603-616-9412

License Information

License Number
04243
License State
NH
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Bethany Brooks, DMD?

The NPI number of Dr. Bethany Brooks, DMD is 1134672470. It was assigned on August 3, 2016 and is currently active in the NPPES registry.

What is the specialty of Dr. Bethany Brooks, DMD?

Dr. Bethany Brooks, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NH under license number 04243.

Where does Dr. Bethany Brooks, DMD practice?

The practice location is Bureau Of Med And Surgery Credentials And, 554 Keily Street, Jacksonville, FL 32214-0001. The office can be reached at 757-953-1897 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134672470 directly on the NPPES registry website.

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