MEDICARE: DR. SCOTT BENSTOCK 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	1223G0001X	General Practice Dentistry	33243	CA

General Provider Information

NPI Number	:	1871665471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT BENSTOCK DDS

Provider Business Mailing Address
First Line	:	652 PETALUMA AVE
Second Line	:	SUITE A
City	:	SEBASTOPOL
State	:	CA
Zip	:	95472-4256
Country	:	US
Telephone Number	:	707-823-5339
Fax Number	:	707-823-1891

Provider Business Practice Location Address
First Line	:	652 PETALUMA AVE
Second Line	:	SUITE A
City	:	SEBASTOPOL
State	:	CA
Zip	:	95472-4256
Country	:	US
Telephone Number	:	707-823-5339
Fax Number	:	707-823-1891

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

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	10/11/2007

Similar Medicare Providers

1477230340 — MAYA LOPEZ LCSW
Practice Location Address:

652 PETALUMA AVE
SEBASTOPOL, CA
95472-4256

Practice Phone: 707-216-0548
Practice Fax:

1962401463 — MISTY MICHELLE ZELK M.D.
Practice Location Address:

652 PETALUMA AVE , SUITE H
SEBASTOPOL, CA
95472-4256

Practice Phone: 707-823-7616
Practice Fax:

1477515435 — DR. HOPE ANITA BECKLUND MD
Practice Location Address:

652 PETALUMA AVE , SUITE F
SEBASTOPOL, CA
95472-4256

Practice Phone: 707-823-2334
Practice Fax: 707-823-3007

1497842835 — SUTTER MEDICAL GROUP OF THE REDWOODS
Practice Location Address:

652 PETALUMA AVE , SUITE F
SEBASTOPOL, CA
95472-4256

Practice Phone: 707-823-2334
Practice Fax: 707-823-3007

1982791380 — REDWOOD REGIONAL MEDICAL GROUP
Practice Location Address:

652 PETALUMA AVE , SUITE I
SEBASTOPOL, CA
95472-4256

Practice Phone: 707-829-2141
Practice Fax: 707-829-2966

1992889067 — ALLAN L. BERNSTEIN MD
Practice Location Address:

652 PETALUMA AVE , SUITE H
SEBASTOPOL, CA
95472-4256

Practice Phone: 707-823-7616
Practice Fax: 707-823-2803

Directions to “ DR. SCOTT BENSTOCK 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 © 2007-2025 (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.