Provider Demographics
NPI:1033258496
Name:VANDER SCHAAF, BETH DRIESJA (DDS)
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:DRIESJA
Last Name:VANDER SCHAAF
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7327 E THOMAS RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-7215
Mailing Address - Country:US
Mailing Address - Phone:480-994-5225
Mailing Address - Fax:480-462-1898
Practice Address - Street 1:7327 E THOMAS RD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-7215
Practice Address - Country:US
Practice Address - Phone:480-994-5225
Practice Address - Fax:480-462-1898
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD44261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
826546OtherUNITED CONCORDIA
1063577393OtherGROUP NPI