MEDICARE: DR. CHRISTOPHER BEJ DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	30025018	OH

General Provider Information

NPI Number	:	1932637758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER BEJ DMD

Provider Business Mailing Address
First Line	:	39040 ARBOR CT
Second Line	:
City	:	GRAFTON
State	:	OH
Zip	:	44044-1057
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	36900 DETROIT RD
Second Line	:
City	:	AVON
State	:	OH
Zip	:	44011-1518
Country	:	US
Telephone Number	:	440-934-3333
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2017
Last Update Date	:	05/24/2017

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