Steven Jon Benson, DMD
Individual provider Active NPI Dentist · Jamestown, NY
NPI 1235349028 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1235349028
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 031766 (NY)
- Practice address
- 405 North Main Street
Jamestown, NY 14701-5007 - Phone
- (716) 664-4065
- Fax
- (716) 664-4065
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031766 | NY | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 031766 | NY | Yes |
Addresses
Primary practice location
405 North Main Street
Jamestown, NY 14701-5007
Mailing address
405 North Main Street
Jamestown, NY 14701-5007
Phone (716) 664-4065
Other providers in Jamestown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.