MEDICARE: DR. JONATHAN SIMON BENSOUSSAN DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0700X	Prosthodontics	010920	AZ

General Provider Information

NPI Number	:	1831607845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JONATHAN SIMON BENSOUSSAN DDS

Provider Business Mailing Address
First Line	:	3443 N CENTRAL AVE STE 700
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85012-2208
Country	:	US
Telephone Number	:	602-242-2256
Fax Number	:

Provider Business Practice Location Address
First Line	:	3443 N CENTRAL AVE STE 700
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85012-2208
Country	:	US
Telephone Number	:	602-242-2256
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2018
Last Update Date	:	05/24/2021

Similar Medicare Providers

1932238664 — MR. PAUL FREDERICK MARISCHEN DDS
Practice Location Address:

3443 N CENTRAL AVE , STE 700
PHOENIX, AZ
85012-2208

Practice Phone: 602-242-2256
Practice Fax: 602-242-8132

1700733763 — SAKIN LLC
Practice Location Address:

921 W CAMELBACK RD
PHOENIX, AZ
85013-2208

Practice Phone: 602-492-2093
Practice Fax:

1659324242 — LIFE CARE CENTERS OF AMERICA, INC.
Practice Location Address:

4065 E BELL RD
PHOENIX, AZ
85032-2208

Practice Phone: 602-867-0212
Practice Fax: 602-867-0321

1063658334 — STEVE IBRAHIM DO PLLC
Practice Location Address:

4065 E BELL RD
PHOENIX, AZ
85032-2208

Practice Phone: 602-867-0212
Practice Fax:

1053541144 — MARBI L GALLAWAY MA
Practice Location Address:

5701 N BLACK CANYON HWY
PHOENIX, AZ
85015-2208

Practice Phone: 602-448-6369
Practice Fax: 602-978-8572

1215251715 — DNMEDTRANS
Practice Location Address:

3825 W MCDOWELL RD , 512
PHOENIX, AZ
85009-2208

Practice Phone: 602-405-2241
Practice Fax: 602-595-0702

Directions to “ DR. JONATHAN SIMON BENSOUSSAN DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.