Active NPI
Renew Dental PLLC
- Prosthodontics
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 06755
- Legal business name
- RENEW DENTAL PLLC
- Practice address
- 301 E Bethany Home Rd Ste C194
Phoenix, AZ 85012-1266 - Phone
- (602) 277-9088
- Fax
- (602) 277-8889
- NPI assigned
- Jul 25, 2006
- Last updated
- Apr 30, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Douglas Gary Benting, DDS, MS
- Title
- Prosthodontist
- Phone
- (602) 277-9088
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 06755 | AZ | Primary |
Addresses
Primary practice location
301 E Bethany Home Rd Ste C194
Phoenix, AZ 85012-1266
Mailing address
301 E Bethany Home Rd Ste C194
Phoenix, AZ 85012-1266
Phone (602) 277-9088
Other names 1
- Douglas G Benting DDS MS PLLC
National Provider Directory
National Provider DirectoryLocations
301 E Bethany Home Rd
Ste C194
Phoenix, AZ 85012
Phone (602) 277-9088
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Prosthodontics
- Phoenix, AZ
- NPI 1326448309
-
- Dentist
- Phoenix, AZ
- NPI 1700033784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619740800000",
"number": "1245252287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 E BETHANY HOME RD STE C194",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850121266",
"telephone_number": "602-277-9088",
"fax_number": "602-277-8889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E BETHANY HOME RD STE C194",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850121266",
"telephone_number": "602-277-9088",
"fax_number": "602-277-8889"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEW DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-25",
"last_updated": "2021-04-30",
"certification_date": "2021-04-30",
"status": "A",
"authorized_official_last_name": "BENTING",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "GARY",
"authorized_official_title_or_position": "PROSTHODONTIST",
"authorized_official_telephone_number": "602-277-9088",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS, MS"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "AZ",
"license": "06755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Douglas G Benting DDS MS PLLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.