Provider Demographics
NPI:1205971751
Name:BEHAR, JEFFREY MICHAEL (DDS PA)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:MICHAEL
Last Name:BEHAR
Suffix:
Gender:M
Credentials:DDS PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:305 WEST CHESAPEAKE AVENUE
Mailing Address - Street 2:SUITE L7
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204
Mailing Address - Country:US
Mailing Address - Phone:410-337-9076
Mailing Address - Fax:410-337-9076
Practice Address - Street 1:305 WEST CHESAPEAKE AVENUE
Practice Address - Street 2:SUITE L7
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204
Practice Address - Country:US
Practice Address - Phone:410-337-9076
Practice Address - Fax:410-337-9076
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD75951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice