Dr. Charles J Bencivengo, DMD
Dentist, General Practice in Bristol, Connecticut
1215029368- Practice location
- 21 Pleasant St, Bristol, CT 06010-6254
- Phone
- 860-582-8095
- Fax
- 860-589-3615
- Last updated
- July 8, 2007
Charles J. Bencivengo is a Dentist, General Practice based in Bristol, CT. Charles J. Bencivengo practices in Bristol, CT and has the professional credentials of DMD. The NPI Number for Charles J. Bencivengo is 1215029368 and holds a License No. 4945 (CT). The current practice location address for Charles J. Bencivengo is 21 Pleasant St, Bristol, CT 06010-6254 and can be reached out via phone at 860-582-8095 and via fax at 860-589-3615.
Provider Profile Details
- NPI Number
- 1215029368
- Provider Name
- Charles J. Bencivengo
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 21 Pleasant St, Bristol, CT 06010-6254
- Phone Number
- 860-582-8095
- Fax Number
- 860-589-3615
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 28, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 21 Pleasant St
Bristol, CT 06010-6254 - City
- Bristol
- State
- Connecticut
- Zip
- 06010-6254
- Phone Number
- 860-582-8095
- Fax Number
- 860-589-3615
Provider Business Mailing Address Details
- Address
- 21 Pleasant St
Bristol, CT 06010-6254 - City
- Bristol
- State
- CT
- Zip
- 06010-6254
- Phone Number
- 860-582-8095
- Fax Number
- 860-589-3615
License Information
- License Number
- 4945
- License State
- CT
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Charles J Bencivengo, DMD?
The NPI number of Dr. Charles J Bencivengo, DMD is 1215029368. It was assigned on September 28, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Charles J Bencivengo, DMD?
Dr. Charles J Bencivengo, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 4945.
Where does Dr. Charles J Bencivengo, DMD practice?
The practice location is 21 Pleasant St, Bristol, CT 06010-6254. The office can be reached at 860-582-8095 (phone) or 860-589-3615 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215029368 directly on the NPPES registry website.