MEDICARE: DR. LYNDA JANE BENEDETTO D.D.S.

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	1223G0001X	General Practice Dentistry	41001	CA

General Provider Information

NPI Number	:	1063639714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LYNDA JANE BENEDETTO D.D.S.

Provider Business Mailing Address
First Line	:	1165 COAST VILLAGE RD STE I
Second Line	:
City	:	MONTECITO
State	:	CA
Zip	:	93108-3769
Country	:	US
Telephone Number	:	805-565-9837
Fax Number	:	805-565-9831

Provider Business Practice Location Address
First Line	:	3714 STATE ST # C-1
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-3104
Country	:	US
Telephone Number	:	805-565-9837
Fax Number	:	805-565-9831

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

Provider Enumeration Date	:	04/20/2007
Last Update Date	:	08/13/2025

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