James Bennett Jr., D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN15103 Issued in FL

Practice address

10188 NW 31St St
Coral Springs, FL 33065-3913

Phone

(954) 752-7651

Fax

(954) 345-4188

NPI assigned

Apr 28, 2014

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1902216153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10188 NW 31ST ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653913",
            "telephone_number": "954-752-7651",
            "fax_number": "954-345-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10188 NW 31ST ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653913",
            "telephone_number": "954-752-7651",
            "fax_number": "954-345-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JAMES",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-28",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN15103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Benito, PSY.D.
• Adam Benjamin, OD
• Lewis Shelley Benjamin, D.M.D., M.S.
• Raina Benjamin
• Annalesia Stephennie Bennett
• Katelyn Leigh Bennion, MA CCC-SLP
• Amaris Deandre Bent
• Melissa Bent
• Homaxley Bento
• Michelle Bepko

• Pediatric Dentistry in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.