Bender Dental Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2833-94 Issued in MS

Legal business name

BENDER DENTAL ASSOCIATES

Practice address

4550 Manhattan Rd
Jackson, MS 39206-6022

Phone

(601) 362-0460

NPI assigned

Dec 15, 2007

Organization subpart

Yes

Parent organization

BENDER DENTAL ASSOCIATESAs reported in NPPES

Name

Dr. Teresa Manogin Bender, DMD

Title

Owner

Phone

(601) 362-0460

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teresa Manogin-Bender, DMD

  • Dentist
  • Jackson, MS
  • NPI 1538219043

  General Practice

  NPD
• Melanye Bender, DMD

  • General Practice Dentistry
  • Rio Communities, NM
  • NPI 1306536123

  General Practice

  NPD (past)

Part of

Bender Dental Associates

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 31, 2021.

{
    "created_epoch": "1197676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1003099839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 MANHATTAN RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392066022",
            "telephone_number": "601-362-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 MANHATTAN RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392066022",
            "telephone_number": "601-362-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENDER DENTAL ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BENDER DENTAL ASSOCIATES",
        "enumeration_date": "2007-12-15",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "MANOGIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-362-0460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "2833-94",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01528564",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• John A Bellan Jr., MD
• Ben W. Seale, M.D., PLLC
• Anna Claire Benafield
• Laura Lee Smith Beneke, MD
• Charles A Benford Sr., P.T.
• Sherrice Benford, PTA
• Dustin Benge, CRNA
• Jenna C Benge

• All providers in Jackson, MS
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.