Nicholas Dennis Beneda, DDS
Individual provider Active NPI General Practice Dentistry · Park River, ND
NPI 1295938504 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295938504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2003 (ND)
- Practice address
- 418 Briggs Ave S
Park River, ND 58270-0662 - Phone
- (701) 284-6201
- Fax
- (701) 284-6901
- NPI assigned
- Jun 6, 2007
- 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 |
|---|---|---|---|
| 2003 | ND | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park River Dental, PC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2003 | ND | Yes |
Addresses
Primary practice location
418 Briggs Ave S
Park River, ND 58270-0662
Mailing address
PO Box 662
418 Briggs Ave
Park River, ND 58270-0662
Phone (701) 284-6201
Other providers in Park River, ND
- Achieve Therapy LLC
- Christina Bata
- Allie Beneda
- Gretchen Marie Brummond
- Micheala Burling
- Dori M. Carlson
- Christian Unity Hospital Corporation
- Tamara J Clemetson
All providers in Park River, ND · General Practice Dentistry in North Dakota
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.