Benjamin Tindal, D.M.D
Individual provider Active NPI Dentist · Holmes Beach, FL
NPI 1992968465 · NPPES record last updated Jun 6, 2011
Key facts
- NPI
- 1992968465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DN18456 (FL)
- Practice address
- 3909 E Bay Dr
Holmes Beach, FL 34217-1997 - Phone
- (941) 778-2204
- NPI assigned
- Jul 5, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN18456 | FL | MD | Dentist |
| DRP656 | FL | MD | Prosthodontist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN18456 | FL | Yes |
| Prosthodontics | 1223P0700X | DRP656 | FL |
Addresses
Primary practice location
3909 E Bay Dr
Holmes Beach, FL 34217-1997
Mailing address
3909 E Bay Dr
Holmes Beach, FL 34217-1997
Other providers in Holmes Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.