Bruce C. Benedictson, D.D.S. PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

7660 Issued in FL

Legal business name

BRUCE C. BENEDICTSON, D.D.S. PA

Practice address

222 Oakridge Blvd
Suite a
Daytona Beach, FL 32118-4030

Phone

(386) 253-1272

NPI assigned

Feb 3, 2008

Last updated

Feb 3, 2008By 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

Dr. Bruce Christian Benedictson, D.D.S.

Title

Owner

Phone

(386) 253-1272

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1201996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201996800000",
    "number": "1487832341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 OAKRIDGE BLVD",
            "address_2": "SUITE A",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321184030",
            "telephone_number": "386-253-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 OAKRIDGE BLVD",
            "address_2": "SUITE A",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321184030",
            "telephone_number": "386-253-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE C. BENEDICTSON, D.D.S. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-03",
        "last_updated": "2008-02-03",
        "status": "A",
        "authorized_official_last_name": "BENEDICTSON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-253-1272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "7660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Ann Brown, LCSW
• Tananarieve P Brown, ARNP
• Barbara L Brownfield, ARNP
• Teresa M Broxton
• Tony L Broxton
• Sarah Bruce, ARNP
• Shawndolyn Bruten
• Bryan M Bergens DDS PA
• Tenisha Bryan Morris
• Lisa Tracy Ann Bryan Ukawuilulu, APRN

• Dental Clinic/Center in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2008; 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.