NPI 1295938504 · live from the CMS NPI Registry
Nicholas Dennis Beneda, DDS
Dentist, General Practice in Park River, ND. National Provider Identifier 1295938504, active.
NPI record
| NPI | 1295938504 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 418 Briggs Ave S, Park River, ND 58270 |
| Practice phone | 701-284-6201 |
| Mailing address | Po Box 662, 418 Briggs Ave, Park River, ND 58270 |
| Enumerated | June 6, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 2003 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.