Provider Demographics
NPI:1801405311
Name:TEJERA, BEATRIZ CHRISTINA (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:BEATRIZ
Middle Name:CHRISTINA
Last Name:TEJERA
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5892 CLYDESDALE CT
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33314-4476
Mailing Address - Country:US
Mailing Address - Phone:239-209-1132
Mailing Address - Fax:
Practice Address - Street 1:10189 CLEARY BLVD STE 201
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1027
Practice Address - Country:US
Practice Address - Phone:954-473-6901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-30
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLDN254671223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program