Benjamin Scott Fenger, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D11930 Issued in MN

Practice address

319 Aeromedical-Dental Squadron/SGGD
1599 J St. BLDG. 109a
Grand Forks AFB, ND 58205

Phone

(701) 747-5393

NPI assigned

Oct 31, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prairie Dental Group

  • General Practice Dentistry
  • Eden Prairie, MN
  • NPI 1104057975
  NPD (past)

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1538150537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 24TH AVE S",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016285",
            "telephone_number": "612-232-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 AEROMEDICAL-DENTAL SQUADRON/SGGD",
            "address_2": "1599 J ST. BLDG. 109A",
            "city": "GRAND FORKS AFB",
            "state": "ND",
            "postal_code": "58205",
            "telephone_number": "701-747-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENGER",
        "first_name": "BENJAMIN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnathan Mark Compton, M.D.
• Marie Elyse Corbin, LCSW
• Dennise Cortes, MD
• Linda M Dunnigan, RN
• Breezetta Lowanet Etienne, PA-C
• Christopher Edward Franken, IDMT
• Dustin Frize
• Howard R Givens, M.D.
• Laine Maren Gordon, LCSW
• Doreen Marie Hinsz, PHARM D

• Dentist in Grand Forks AFB, ND
• Providers in Grand Forks AFB, ND by specialty
• Dentist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.