Organization Active NPI

Jessica R Bentoski DDS Ms PLLC

  • Dental Clinic/Center
  • Saginaw, MI
National Provider Identifier
1346979457
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JESSICA R BENTOSKI DDS MS PLLC
Practice address
3650 Shattuck Rd
Saginaw, MI 48603-3158
Phone
(989) 790-2076
NPI assigned
Jun 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Authorized official

Name
Dr. Jessica Rose Bentoski, DDS, MSNPI 1982921631
Title
Pediatric Dentist/Owner
Phone
(989) 790-2076

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)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3650 Shattuck Rd
Saginaw, MI 48603-3158

Mailing address

3650 Shattuck Rd
Saginaw, MI 48603-3158
Phone (989) 790-2076

National Provider Directory

National Provider Directory

Locations

3650 Shattuck Rd
Saginaw, MI 48603
Phone (989) 790-2076

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656028800000",
    "number": "1346979457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 SHATTUCK RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033158",
            "telephone_number": "989-790-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 SHATTUCK RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033158",
            "telephone_number": "989-790-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA R BENTOSKI DDS MS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "BENTOSKI",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST/OWNER",
        "authorized_official_telephone_number": "989-790-2076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.