Behn, Jack William

Behn, Jack William is an individual health care provider with primary practice located at 8200 W Sunrise Blvd A 1, Plantation FL 33322. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Behn, Jack William can be contacted via phone (954) 318-1966.

Contact Information

Primary practice address
8200 W Sunrise Blvd A 1 Plantation FL 33322
Phone: (954) 318-1966
Fax: (954) 473-2742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7777 Florida

Profile Details

NPI number 1346306206
LBN Legal business name Behn, Jack William
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346306206 NPPES
Florida Other 86854 BLUE CROSS BLUE SHIELD
Florida Other 035149 BLUE CROSS BLUE SHIELD

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