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NPI Code Detail

MEDICARE: DR. BETHANY ANN FLANDERS D.D.S.

MEDICARE:  DR. BETHANY ANN FLANDERS  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 Dentistry31989TX

General Provider Information

NPI Number : 1447703053
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BETHANY ANN FLANDERS D.D.S.
Provider Business Mailing Address
First Line : 5540 OLD JACKSONVILLE HWY
Second Line :
City : TYLER
State : TX
Zip : 75703-3378
Country : US
Telephone Number : 903-597-2121
Fax Number :
Provider Business Practice Location Address
First Line : 5540 OLD JACKSONVILLE HWY
Second Line :
City : TYLER
State : TX
Zip : 75703-3378
Country : US
Telephone Number : 903-597-2121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2016
Last Update Date : 05/25/2021

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Directions to “ DR. BETHANY ANN FLANDERS D.D.S.” Practice Location

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