Brent H Bethers, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

D010233 Issued in AZ

Practice address

20755 W McDowell Rd Ste 111
Buckeye, AZ 85396-2072

Phone

(623) 439-2222

Fax

(623) 439-2224

NPI assigned

Aug 19, 2008

Last updated

Dec 4, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sandstone Oral Maxillofacial Surgery PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Buckeye, AZ
  • NPI 1497317275
  NPD (past) Authorized official
• North Valley Endodontics, P.a.

  dba Valley Endodontic Specialty Group

  • Endodontics
  • Phoenix, AZ
  • NPI 1659308641
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1407003650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20755 W MCDOWELL RD STE 111",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853962072",
            "telephone_number": "623-439-2222",
            "fax_number": "623-439-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20755 W MCDOWELL RD STE 111",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853962072",
            "telephone_number": "623-439-2222",
            "fax_number": "623-439-2224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20700 W Thomas Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Buckeye",
            "state": "AZ",
            "postal_code": "853961697",
            "country_code": "US",
            "telephone_number": "623-439-2222",
            "fax_number": "623-439-2224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETHERS",
        "first_name": "BRENT",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "D010233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamal Edwin Bechri, LAT, ATC
• Tami Beckman
• Cailey Bennie
• Rachel Lee Bentley, M.A.
• Norman Victor Bertel, PSY.D.
• Elizabeth Bettencourt, OTR
• Better Care LLC
• BHSM Rehabilitation LLC
• BHSM Rehabilitation, LLC (Banner Physical Therapy)
• Eric Binegar

• Oral and Maxillofacial Surgery (Dentist) in Buckeye, AZ
• Providers in Buckeye, AZ by specialty
• Oral and Maxillofacial Surgery (Dentist) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.