Anderson Reid Bensch, DMD
Individual provider Active NPI General Practice Dentistry · Batesville, MS
NPI 1275157463 · NPPES record last updated Jun 3, 2020
Key facts
- NPI
- 1275157463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4117-20 (MS)
- Practice address
- 160 Cracker Barrell Dr
Batesville, MS 38606-3031 - Phone
- (662) 563-7821
- NPI assigned
- Jun 3, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 4117-20 | MS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Batesville Premier Dental PLLC | Current |
Accepting new patients |
Locations
160 Cracker Barrell Dr
Batesville, MS 38606
Phone (662) 563-7821
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4117-20 | MS | Yes |
Addresses
Primary practice location
160 Cracker Barrell Dr
Batesville, MS 38606-3031
Mailing address
PO Box 1200
Batesville, MS 38606-1200
NPI Registry JSON
{
"created_epoch": "1591142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591142400000",
"number": "1275157463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1200",
"city": "BATESVILLE",
"state": "MS",
"postal_code": "386061200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 CRACKER BARRELL DR",
"city": "BATESVILLE",
"state": "MS",
"postal_code": "386063031",
"telephone_number": "662-563-7821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENSCH",
"first_name": "ANDERSON",
"middle_name": "REID",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-03",
"last_updated": "2020-06-03",
"certification_date": "2020-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MS",
"license": "4117-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Batesville, MS
- Batesville Vision Clinic
- Scott Edward P Baymiller
- Katie Sevelda Bearden
- Benjamin T Hubbard Jr
- Barbara Bright Bennett
- Audrey Berryhill
- Alex W Bethay
- Chloe Bloom
- Sarah Glenn Bolen
- Mary Elisabeth Bowlin
All providers in Batesville, MS · General Practice Dentistry in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2020. 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.