Mindy Joy Benjamini, MD
Individual provider Active NPI General Practice Dentistry · Narberth, PA
NPI 1760629869 · NPPES record last updated Jan 3, 2013
Key facts
- NPI
- 1760629869
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS031569L (PA)
- Practice address
- 853 Montgomery Ave
Narberth, PA 19072 - Phone
- (484) 278-4737
- Fax
- (484) 278-4736
- NPI assigned
- Jan 12, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231212004049 | PA | Order and Referring Only - Dentist |
9032429535 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS031569L | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MB Dentist Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS031569L | PA | Yes |
Addresses
Primary practice location
853 Montgomery Ave
Narberth, PA 19072
Mailing address
853 Montgomery Ave
Penn Valley, PA 19072-1541
Phone (484) 278-4737
Other providers in Narberth, PA
- Meredith Barber
- Martha D. Bardsley
- Abigail Irwin Bartus
- Kimberly Joy Beam
- Gina Maria Benaquista Desipio
- Dale D Berg
- Garrett Edward Bergman
- Deborah Bierschwale
- Gillian Blair
- David B. Block
All providers in Narberth, PA · General Practice Dentistry in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.