Organization Active NPI

H Herbert Benavent DDS PA

  • Dental Clinic/Center
  • Clarksville, MD
National Provider Identifier
1871834192
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
13620 Issued in MD
Legal business name
H HERBERT BENAVENT DDS PA
Practice address
5820 Clarksville Square Dr
Clarksville, MD 21029-1856
Phone
(443) 535-9600
Fax
(443) 535-9601
NPI assigned
Mar 12, 2013
Last updated
Mar 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Authorized official

Name
Dr. Harry Herbert Benavent, DDSNPI 1902169899
Title
Dentist
Phone
(443) 535-9600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 13620 MD Primary

Addresses

Primary practice location

5820 Clarksville Square Dr
Clarksville, MD 21029-1856

Mailing address

5820 Clarksville Square Dr
Clarksville, MD 21029-1856
Phone (443) 535-9600

National Provider Directory

National Provider Directory

Locations

5820 Clarksville Square Dr
Clarksville, MD 21029
Phone (443) 535-9600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1871834192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 CLARKSVILLE SQUARE DR",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291856",
            "telephone_number": "443-535-9600",
            "fax_number": "443-535-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 CLARKSVILLE SQUARE DR",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291856",
            "telephone_number": "443-535-9600",
            "fax_number": "443-535-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H HERBERT BENAVENT DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-12",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "BENAVENT",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "HERBERT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "443-535-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MD",
            "license": "13620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.