Provider Demographics
NPI:1316285067
Name:TOKAYER, BEATRICE R (LD)
Entity type:Individual
Prefix:
First Name:BEATRICE
Middle Name:R
Last Name:TOKAYER
Suffix:
Gender:F
Credentials:LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:291 ALFRED ST
Mailing Address - Street 2:
Mailing Address - City:BIDDEFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04005-3155
Mailing Address - Country:US
Mailing Address - Phone:207-286-9500
Mailing Address - Fax:
Practice Address - Street 1:291 ALFRED ST
Practice Address - Street 2:
Practice Address - City:BIDDEFORD
Practice Address - State:ME
Practice Address - Zip Code:04005-3155
Practice Address - Country:US
Practice Address - Phone:207-286-9500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-30
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME5519122400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122400000XDental ProvidersDenturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME46-1831135OtherTAXONOMY