Provider Demographics
NPI:1164626396
Name:BHEND, CARL PAUL (DDS)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:PAUL
Last Name:BHEND
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3204 NW HAMPTON PLACE
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64015-2877
Mailing Address - Country:US
Mailing Address - Phone:816-220-0073
Mailing Address - Fax:
Practice Address - Street 1:72 NEALY AVENUE
Practice Address - Street 2:
Practice Address - City:LANGLEY AFB
Practice Address - State:VA
Practice Address - Zip Code:23665-5300
Practice Address - Country:US
Practice Address - Phone:757-225-5867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007014192122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist