Gerald Mitchell Benson Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013634 Issued in GA

Practice address

5010 Paulsen St
Savannah, GA 31405-4504

Phone

(912) 351-0081

NPI assigned

Oct 17, 2006

Last updated

Aug 21, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Georgia Dental Professionals, PC

  dba Savannah Quarters Dental Care

  • General Practice Dentistry
  • Pooler, GA
  • NPI 1407347891
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1235210303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054504",
            "telephone_number": "912-351-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054504",
            "telephone_number": "912-351-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "GERALD",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "GA",
            "license": "DPH000003",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013634",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8209",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kinshasa Xzandria Bennett
• Marcia Bennett
• Allison T Benson, AA
• Elizabeth A Benson, PT
• Gerald Mitchell Benson, DDS
• Bryan M Benton, DMD
• Lashawn T Benton
• Lauren Benton, DMD
• Nicole Berardi, RBT
• Sanford Victor Berens, M.D.

• General Practice Dentistry in Savannah, GA
• Providers in Savannah, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.