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NPI Code Detail

MEDICARE: DR. TERRY D. BELDEN D.D.S.

MEDICARE:  DR. TERRY D. BELDEN  D.D.S.
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
11223G0001XGeneral Practice Dentistry5055AZ

General Provider Information

NPI Number : 1023187549
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TERRY D. BELDEN D.D.S.
Provider Business Mailing Address
First Line : 4901 NORTH 44TH STREET
Second Line : #100
City : PHOENIX
State : AZ
Zip : 85018-8393
Country : US
Telephone Number : 602-840-1217
Fax Number : 602-840-6866
Provider Business Practice Location Address
First Line : 4901 NORTH 44TH STREET
Second Line : #100
City : PHOENIX
State : AZ
Zip : 85018-8393
Country : US
Telephone Number : 602-840-1217
Fax Number : 602-840-6866
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2006
Last Update Date : 08/23/2011

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Directions to “ DR. TERRY D. BELDEN D.D.S.” Practice Location

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