Gregory Dean Bennett, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8578 Issued in CO

Practice address

7745 Wadsworth Blvd
Suite F
Arvada, CO 80003

Phone

(303) 421-7611

Fax

(303) 421-2337

NPI assigned

Aug 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285642058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7745 WADSWORTH BLVD",
            "address_2": "SUITE F",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "80003",
            "telephone_number": "303-421-7611",
            "fax_number": "303-421-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7745 WADSWORTH BLVD",
            "address_2": "SUITE F",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "80003",
            "telephone_number": "303-421-7611",
            "fax_number": "303-421-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "GREGORY",
        "middle_name": "DEAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Benallo, RN
• Bender and Callender DDS PLLC
• Maryn Elizabeth Beneda, MFT
• Benediction, Inc.
• David Stuart Bennett, D.D.S.
• Steven Mark Bennett, ACUPUNCTURIST
• Stuart E Bennett, DDS
• Alexia R Bennetts, L.AC.
• Alyssa Benson
• Joseph Bentley, MA CANDIDATE

• General Practice Dentistry in Arvada, CO
• Providers in Arvada, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.