Provider Demographics
NPI:1720258643
Name:JOSEPH M. & JENI L. BEHRMAN
Entity Type:Organization
Organization Name:JOSEPH M. & JENI L. BEHRMAN
Other - Org Name:MACEDON FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:M
Authorized Official - Last Name:BEHRMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:315-986-3545
Mailing Address - Street 1:1212 ROUTE 31
Mailing Address - Street 2:P.O. BOX 862
Mailing Address - City:MACEDON
Mailing Address - State:NY
Mailing Address - Zip Code:14502-9155
Mailing Address - Country:US
Mailing Address - Phone:315-986-3545
Mailing Address - Fax:315-986-1074
Practice Address - Street 1:1212 ROUTE 31
Practice Address - Street 2:
Practice Address - City:MACEDON
Practice Address - State:NY
Practice Address - Zip Code:14502-9155
Practice Address - Country:US
Practice Address - Phone:315-986-3545
Practice Address - Fax:315-986-1074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-06
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty