Steven Richard Bench, DDS
Individual provider Active NPI General Practice Dentistry · Fairview, UT
NPI 1013209287 · NPPES record last updated May 6, 2011
Key facts
- NPI
- 1013209287
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 137586 (UT)
- Practice address
- 229 South State
Fairview, UT 84629-0009 - Phone
- (435) 427-3322
- Fax
- (435) 427-3323
- NPI assigned
- May 6, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 137586 | UT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steven R. Bench, DDS PC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 137586 | UT | Yes |
Addresses
Primary practice location
229 South State
Fairview, UT 84629-0009
Mailing address
PO Box 9
Fairview, UT 84629-0009
Phone (435) 427-3322
Other providers in Fairview, UT
- Joseph Leo Anderson
- Nolan K Clawson
- David Lance Martin
- Pine Ridge Behavioral Health LLC
- William D Pollock
- Michael L Ratell
All providers in Fairview, UT · General Practice Dentistry in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.