Resolute Benak

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RESOLUTE BENAK

Doing business as

Arnold E Benak Jr DMD

Practice address

317 Flanders Rd Ste 204-205
East Lyme, CT 06333-1740

Phone

(860) 739-5700

NPI assigned

Mar 2, 2022

Last updated

Mar 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory A Toback, DMD MS

Title

Member

Phone

(860) 443-2428

Specialties & licenses 1

Addresses

Other names 1

• Arnold E Benak Jr DMD Doing business as

Tax ID family

Arnold E Benak Jr DMD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Resolute Benak

  dba Arnold E. Benak Jr, Family and Cosmetic Dentistry

  • Dentist
  • East Lyme, CT
  • NPI 1790481612
  NPD tax ID

Locations

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1366198194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 HEMPSTEAD ST",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063206248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 FLANDERS RD STE 204-205",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331740",
            "telephone_number": "860-739-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESOLUTE BENAK",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "TOBACK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-443-2428",
        "authorized_official_credential": "DMD MS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arnold E Benak Jr DMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian Mark Pochal
• Hong Qi, LAC
• R&W Non-Emergency Medical Transport LLC
• Nancy A Randall, PSYD
• Sylvia Rasie, APRN
• Resolute Benak (Arnold E. Benak Jr, Family and Cosmetic Dentistry)
• Resolute Flanders LLC
• Julia Jean Ressler, LCSW
• Megan E Ressler, M.ED. OTR/L
• Tiffany Rindell, PT

• General Practice Dentistry in East Lyme, CT
• Providers in East Lyme, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.