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NPI Code Detail

MEDICARE: DR. STEVEN D BENDER D.D.S.

MEDICARE: DR. STEVEN D BENDER 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
1122300000XDentist15227TX
2208VP0000XPain Medicine Physician15227TX
31223X2210XOrofacial Pain Dentistry15227TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11548263502OTHERTX74-2907553

General Provider Information

NPI Number : 1548263502
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN D BENDER D.D.S.
Provider Business Mailing Address
First Line : 3302 GASTON AVE
Second Line : 169
City : DALLAS
State : TX
Zip : 75246-2013
Country : US
Telephone Number : 214-828-8432
Fax Number : 214-874-4504
Provider Business Practice Location Address
First Line : 3302 GASTON AVE
Second Line : 169
City : DALLAS
State : TX
Zip : 75246-2013
Country : US
Telephone Number : 214-828-8432
Fax Number : 214-874-4504
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 10/01/2019

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