NPIMap

Organization Active NPI

Vanessa Benavent, DDS, MSD, Fagd

  • Dental Clinic/Center
  • Clarksville, MD
National Provider Identifier
1124683461
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
VANESSA BENAVENT, DDS, MSD, FAGD
Doing business as
Vanessa Benavent, DDS, MSD, FAGD
Practice address
5820 Clarksville Square Dr
Clarksville, MD 21029-1856
Phone
(443) 535-9600
Fax
(443) 535-9601
NPI assigned
May 2, 2019
Last updated
May 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Authorized official

Name
Dr. Vanessa Benavent Anderson, DDS, MSD
Title
Owner
Phone
(443) 535-9600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary
Pain Clinic/Center 261QP3300X NU

Addresses

Primary practice location

5820 Clarksville Square Dr
Clarksville, MD 21029-1856

Mailing address

5820 Clarksville Square Dr
Clarksville, MD 21029-1856
Phone (443) 535-9600

Other names 1

  • Vanessa Benavent, DDS, MSD, FAGD Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1124683461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 CLARKSVILLE SQUARE DR",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291856",
            "telephone_number": "443-535-9600",
            "fax_number": "443-535-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 CLARKSVILLE SQUARE DR",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291856",
            "telephone_number": "443-535-9600",
            "fax_number": "443-535-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANESSA BENAVENT, DDS, MSD, FAGD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "BENAVENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-535-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vanessa Benavent, DDS, MSD, FAGD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.