Freese & Bengtson Family Dentistry, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2099 Issued in NH

Legal business name

FREESE & BENGTSON FAMILY DENTISTRY, PLLC

Practice address

16 Wall St
Concord, NH 03301-3743

Phone

(603) 228-3384

Fax

(603) 228-3366

NPI assigned

Feb 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Steven R Bengtson, DMDNPI 1881719920

Title

Owner

Phone

(603) 228-3384

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven R Bengtson, DMD

  • General Practice Dentistry
  • Concord, NH
  • NPI 1881719920
  NPD (past) Authorized official
• Jacqueline L Freese, DMD

  • General Practice Dentistry
  • Concord, NH
  • NPI 1861517922
  NPD (past)

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1558539098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WALL STREET",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "03301",
            "telephone_number": "603-228-3384",
            "fax_number": "603-228-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 WALL ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013743",
            "telephone_number": "603-228-3384",
            "fax_number": "603-228-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREESE & BENGTSON FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "BENGTSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-228-3384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "2099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30313381",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Frarie
• Amy Frechette, MSW, LICSW
• Eric Frederic
• Kristin Fredrickson
• Barbara E Freeman, LICSW
• C Ann Freese, LCMHC
• Jacqueline L Freese, DMD
• Deborah Lynn French
• Alisha Freydenfeldt, DC
• Sherie Friedrich, PSYD

• General Practice Dentistry in Concord, NH
• Providers in Concord, NH by specialty
• General Practice Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.