Nathaniel Jon Bent DDS PA

Primary specialty

DentistTaxonomy code 122300000X

License

G1-0001205 Issued in DE

Legal business name

NATHANIEL JON BENT DDS PA

Practice address

625 Barksdale Rd
Suite 115-117
Newark, DE 19711-4535

Phone

(302) 731-4907

Fax

(302) 731-4932

NPI assigned

Sep 22, 2014

Last updated

Sep 22, 2014By 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. Nathaniel Jon Bent, DDSNPI 1336209261

Title

President

Phone

(443) 756-1513

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Barksdale Dental Associates Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nathaniel J Bent, DDS

  • Dentist
  • Wilmington, DE
  • NPI 1336209261
  Authorized official Same address or phone

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1518369529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 SHALLCROSS AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198062325",
            "telephone_number": "443-756-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 BARKSDALE RD",
            "address_2": "SUITE 115-117",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197114535",
            "telephone_number": "302-731-4907",
            "fax_number": "302-731-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHANIEL JON BENT DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "BENT",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-756-1513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DE",
            "license": "G1-0001205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336209261",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barksdale Dental Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Dentist in Newark, DE
• Providers in Newark, DE by specialty
• Dentist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.