Provider Demographics
NPI:1831356419
Name:STEPHEN M BEGEZDA DDS MSD INC
Entity type:Organization
Organization Name:STEPHEN M BEGEZDA DDS MSD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:BEGEZDA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MSD
Authorized Official - Phone:330-726-9091
Mailing Address - Street 1:935 TRAILWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-5062
Mailing Address - Country:US
Mailing Address - Phone:330-716-9091
Mailing Address - Fax:330-726-0008
Practice Address - Street 1:935 TRAILWOOD DR
Practice Address - Street 2:
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-5062
Practice Address - Country:US
Practice Address - Phone:330-716-9091
Practice Address - Fax:330-726-0008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30168561223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty