Benbassat Dental Corporation

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

BENBASSAT DENTAL CORPORATION

Practice address

4520 Executive Dr Ste 340
San Diego, CA 92121-3020

Phone

(858) 677-0661

Fax

(949) 271-4931

NPI assigned

Nov 12, 2010

Organization subpart

No

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

Authorized official

Name

George Benbassat, D.D.S,

Title

President

Phone

(949) 863-9620

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1083915664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20062 SW BIRCH ST",
            "address_2": "SUITE 220",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601518",
            "telephone_number": "949-863-9620",
            "fax_number": "949-271-4931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 EXECUTIVE DR STE 340",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213020",
            "telephone_number": "858-677-0661",
            "fax_number": "949-271-4931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENBASSAT DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "BENBASSAT",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-863-9620",
        "authorized_official_credential": "D.D.S,"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hazel Anne Perilla Benavides
• Veronica C Benavides
• Joanna Rose Benavidez, PH.D.
• Julia Ana Benavidez
• Julie Benavidez
• Gary Robert Bench, M.D.
• Jennifer Jean Bench, AGPCNP
• Shawn Robert Bench, MD
• Ma Olivia Dablo Bencito, RN
• Angela Bencke, ANP -BC

• Orthodontics and Dentofacial Orthopedics Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.