Organization Active NPI

Robert a Benny DDS PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Wellesley, MA
National Provider Identifier
1528197332
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
10624 Issued in MA
Legal business name
ROBERT A BENNY DDS PC
Practice address
40 Grove St
Suite 425
Wellesley, MA 02482-7702
Phone
(781) 235-6153
Fax
(781) 239-1694
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert A Benny, D.D.S.
Title
President
Phone
(781) 235-6153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 10624 MA Primary

Addresses

Primary practice location

40 Grove St
Suite 425
Wellesley, MA 02482-7702

Mailing address

40 Grove St
Suite 425
Wellesley, MA 02482-7702
Phone (781) 235-6153

National Provider Directory

National Provider Directory

Locations

40 Grove St
Ste 425
Wellesley, MA 02482
Phone (781) 235-6153

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528197332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 GROVE ST",
            "address_2": "SUITE 425",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024827702",
            "telephone_number": "781-235-6153",
            "fax_number": "781-239-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 GROVE ST",
            "address_2": "SUITE 425",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024827702",
            "telephone_number": "781-235-6153",
            "fax_number": "781-239-1694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A BENNY DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENNY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-235-6153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "10624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

  • 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.