Healthcare Provider Details

I. General information

NPI: 1487849550
Provider Name (Legal Business Name): HOWARD F BENSON DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2007
Last Update Date: 09/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1747 PENNSYLVANIA AVE NW SUITE160
WASHINGTON DC
20006-4604
US

IV. Provider business mailing address

1747 PENNSYLVANIA AVE NW SUITE160
WASHINGTON DC
20006-4604
US

V. Phone/Fax

Practice location:
  • Phone: 202-785-3030
  • Fax: 202-785-1913
Mailing address:
  • Phone: 202-785-3030
  • Fax: 202-785-1913

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number3207
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: