Scott Michael Behnan, D.D.S, M.S,
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Bad Axe, MI
NPI 1386872018 · NPPES record last updated Jul 31, 2012
Key facts
- NPI
- 1386872018
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 2901019324 (MI)
- Practice address
- 118 N Hanselman St
Bad Axe, MI 48413-1201 - Phone
- (989) 269-6811
- NPI assigned
- Jul 1, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901019324 | MI | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale Orthodontics PLLC | Current |
Accepting new patients | |
| Yale Orthodontics, PLLC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Locations
3901 24th Ave
Fort Gratiot, MI 48059
Phone (810) 984-1586
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 2901019324 | MI | Yes |
Addresses
Primary practice location
118 N Hanselman St
Bad Axe, MI 48413-1201
Mailing address
118 N Hanselman St
Bad Axe, MI 48413-1201
Phone (989) 269-6811
Other providers in Bad Axe, MI
- Juliana Bach
- Jocelyn Bambach
- Ashley Barker
- Brenda Sue Battel
- Kayla Batzer
- Sandy Behnke
- Stefanie Behnke
- Michael T Bills
- Michele Lynn Bingle
- Blue Water Podiatry PC
All providers in Bad Axe, MI · Orthodontics and Dentofacial Orthopedics Dentistry in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.