FBC Dental Mission Inc

Primary specialty

DentistTaxonomy code 122300000X

License

3867 Issued in NC

Legal business name

FBC DENTAL MISSION INC

Practice address

203 S Main St
Belmont, NC 28012-3831

Phone

(704) 825-9635

NPI assigned

Oct 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Dannie George Benjamin II, DDS

Title

Dentist

Phone

(704) 825-9635

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1184803942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 N CENTRAL AVE",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280123633",
            "telephone_number": "704-825-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S MAIN ST",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280123831",
            "telephone_number": "704-825-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FBC DENTAL MISSION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "DANNIE",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "704-825-9635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "3867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89011PU",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Brooks Erwin, FNP-C
• Abraham Diego Escorcia-Puente
• Rene W Estep, LCSW
• Family First Incorporated
• Holly Layne Faux, FNP-C
• Katherine Fee
• Marileide Feitosa, OTR, DC
• Arriana Felix
• David N Ferrand, M.D.
• First Words Speech Therapy, PLLC

• Dentist in Belmont, NC
• Providers in Belmont, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.