Virgil Benjamin DMD Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50729 Issued in CA

Legal business name

VIRGIL BENJAMIN DMD INC.

Practice address

32605 Highway 79 South
213
Temecula, CA 92592

Phone

(951) 302-8515

Fax

(951) 302-8057

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Virgil Benjamin, DMD

Title

Dentist

Phone

(951) 302-8515

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528190881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32605 HIGHWAY 79 SOUTH",
            "address_2": "213",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92592",
            "telephone_number": "951-302-8515",
            "fax_number": "951-302-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32605 HIGHWAY 79 SOUTH",
            "address_2": "213",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92592",
            "telephone_number": "951-302-8515",
            "fax_number": "951-302-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGIL BENJAMIN DMD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "VIRGIL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "951-302-8515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Wade Vincent, MD
• Leandra Dianne Vincent
• William Kyle Vincent, M.D.
• Breanna Vinson, BCBA
• Katelyn Virgen
• Maheep Virk, MD
• Virtue Ipa
• Randy Viscarra
• Larissa Vishtell, FNP
• Visnic Center for Integrated Health Inc

• General Practice Dentistry in Temecula, CA
• Providers in Temecula, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.