Bethany Sue Small

General Practice Dentistry · Avon Lake, OH

Individual Active NPI

NPI number 1407928682

Practice location

424 Avon Belden Rd
Avon Lake, OH 44012-2295
Phone
(440) 930-5233
Fax
(440) 930-5234

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NPI record

NPI
1407928682
Entity type
Individual (Type 1)
Enumeration date
November 14, 2006
Last updated
June 25, 2009
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 20747 OH

About Bethany Small

Bethany Sue Small is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 424 Avon Belden Rd, Avon Lake, OH 44012-2295. The NPI number 1407928682 was assigned on November 14, 2006 and the record was last updated on June 25, 2009.

Bethany Small lists a license in the registry: #20747 (OH) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bethany Sue Small?

The NPI number is 1407928682.

What is the phone number of Bethany Small?

The phone number listed for the practice location is (440) 930-5233.

Where is Bethany Small located?

424 Avon Belden Rd, Avon Lake, OH 44012-2295.

What is the taxonomy code for Bethany Small?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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