Provider Demographics
NPI:1497712970
Name:BETTES, MARK W (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:W
Last Name:BETTES
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Gender:M
Credentials:DDS
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Mailing Address - Street 1:2500 COMO AVE
Mailing Address - Street 2:HEALTHPARTNERS COMO DENTAL SPECIALTY CLINIC
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55108-1460
Mailing Address - Country:US
Mailing Address - Phone:651-647-2500
Mailing Address - Fax:651-632-8984
Practice Address - Street 1:2500 COMO AVE
Practice Address - Street 2:HEALTHPARTNERS COMO DENTAL SPECIALTY CLINIC
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55108-1460
Practice Address - Country:US
Practice Address - Phone:952-896-1111
Practice Address - Fax:952-253-9271
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2014-01-29
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Provider Licenses
StateLicense IDTaxonomies
MN104251223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics