Individual provider Active NPI

Lynda Jane Benedetto, D.D.S.

  • General Practice Dentistry
  • Santa Barbara, CA
National Provider Identifier
1063639714
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41001 Issued in CA
Practice address
3714 State St # C-1
Santa Barbara, CA 93105-3104
Phone
(805) 565-9837
Fax
(805) 565-9831
NPI assigned
Apr 20, 2007
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 41001 CA Primary

Addresses

Primary practice location

3714 State St # C-1
Santa Barbara, CA 93105-3104

Mailing address

1165 Coast Village Rd Ste I
Montecito, CA 93108-3769
Phone (805) 565-9837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 15, 2016 through Jul 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lynda J. Benedetto, DDS, Inc CurrentSince Aug 17, 2025 Accepting new patients
Gregory M. Scarcello, DDS, Inc. CurrentSince Aug 17, 2025 Accepting new patients

Locations

3714 State St
#C1
Santa Barbara, CA 93105
Phone (805) 565-9837

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1063639714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 COAST VILLAGE RD STE I",
            "city": "MONTECITO",
            "state": "CA",
            "postal_code": "931083769",
            "telephone_number": "805-565-9837",
            "fax_number": "805-565-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3714 STATE ST # C-1",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053104",
            "telephone_number": "805-565-9837",
            "fax_number": "805-565-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEDETTO",
        "first_name": "LYNDA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.