MEDICARE: DR. MICHAEL J BEZBATCHENKO 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	15998	OH

General Provider Information

NPI Number	:	1497879332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL J BEZBATCHENKO DDS

Provider Business Mailing Address
First Line	:	149 W SCHROCK RD
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43081-2831
Country	:	US
Telephone Number	:	614-890-7734
Fax Number	:	614-890-4518

Provider Business Practice Location Address
First Line	:	149 W SCHROCK RD
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43081-2831
Country	:	US
Telephone Number	:	614-890-7734
Fax Number	:	614-890-4518

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

Provider Enumeration Date	:	03/17/2007
Last Update Date	:	07/08/2007

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