Benjamin R Menlove DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6361 Issued in AZ

Legal business name

BENJAMIN R MENLOVE DDS PC

Practice address

3960 E Riggs Rd
Suite 2
Chandler, AZ 85249-5411

Phone

(480) 895-7979

Fax

(480) 895-2424

NPI assigned

Oct 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Roy Menlove, DDS

Title

President

Phone

(480) 747-4805

Specialties & licenses 1

Addresses

Other names 1

• chandler sedation and cosmetic dentistry Doing business as

Locations

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1457540023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460",
            "city": "HIGLEY",
            "state": "AZ",
            "postal_code": "852360460",
            "telephone_number": "480-895-7979",
            "fax_number": "480-895-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 E RIGGS RD",
            "address_2": "SUITE 2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495411",
            "telephone_number": "480-895-7979",
            "fax_number": "480-895-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN R MENLOVE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "MENLOVE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-747-4805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "6361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "chandler sedation and cosmetic dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jill Benedict, LDO
• Christopher Beneduce, M.D.
• Anthony Benick, MD
• Roland D Benigno, PA-C
• Klaritssa Benitez
• Lyndi Ann Benjamin, M.S. CCC-SLP
• Morgan Bennetch
• Shad W Bennett
• Matthew John Beno
• Jona Marie Benschoter Riddle, COTA/L

• General Practice Dentistry in Chandler, AZ
• Providers in Chandler, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.