Provider Demographics
NPI:1558046094
Name:BEKHEIT, MARIAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARIAN
Middle Name:
Last Name:BEKHEIT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:941 SW 176TH AVE
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-4834
Mailing Address - Country:US
Mailing Address - Phone:954-662-7785
Mailing Address - Fax:
Practice Address - Street 1:3790 WEDGEWOOD LN
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32162-9319
Practice Address - Country:US
Practice Address - Phone:352-561-3554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-21
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL28209122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist