Individual
DR. JASON R BENOIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3024 VICTORIA ST, BETTENDORF, IA 52722-2793
(563) 332-2447
(563) 332-9787
Mailing address
3024 VICTORIA ST, BETTENDORF, IA 52722-2793
(563) 332-2447
(563) 332-9787
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08005
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1188102
—
IA
01
—
1308450
UNITED CONCORDIA
IA
01
—
43077
BCBS
IA
Enumeration date
07/28/2006
Last updated
07/09/2007
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