MEDICARE: DR. BETH DRIESJA VANDER SCHAAF DDS

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	D4426	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	826546	OTHER		UNITED CONCORDIA
2	1063577393	OTHER		GROUP NPI

General Provider Information

NPI Number	:	1033258496
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BETH DRIESJA VANDER SCHAAF DDS

Provider Business Mailing Address
First Line	:	7327 E THOMAS RD
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-7215
Country	:	US
Telephone Number	:	480-994-5225
Fax Number	:	480-462-1898

Provider Business Practice Location Address
First Line	:	7327 E THOMAS RD
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-7215
Country	:	US
Telephone Number	:	480-994-5225
Fax Number	:	480-462-1898

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

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	08/03/2020

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Directions to “ DR. BETH DRIESJA VANDER SCHAAF DDS” Practice Location

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