Bezek Family Dentistry LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BEZEK FAMILY DENTISTRY LLC

Practice address

1026 4TH St SE Ste 200
Saint Cloud, MN 56304-1371

Phone

(320) 252-1085

NPI assigned

Jan 23, 2020

Organization subpart

No

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

Authorized official

Name

Andrew Robert Bezek, MDM

Title

Owner

Phone

(320) 252-1085

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert James Bezek, D.D.S.

  • General Practice Dentistry
  • Saint Cloud, MN
  • NPI 1194897157
  NPD (past)

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1588294110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 4TH ST SE STE 200",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563041371",
            "telephone_number": "320-252-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 4TH ST SE STE 200",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563041371",
            "telephone_number": "320-252-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEZEK FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "BEZEK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-252-1085",
        "authorized_official_credential": "MDM"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Jean Betzler, RN, CPNP
• Monica A Beumer, PHD LP
• Thomas James Bevans, PA
• Elizabeth Antoinette Bevier, DO
• Dereje Beyene
• Andrew Bezek, DMD
• Anne Mary Bezek, RPH
• Robert James Bezek, D.D.S.
• Pavan Kumar Bhamidipati, MD
• Kenneth Roger Bieganek, RPH

• Dental Clinic/Center in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.