Individual
JACK I BENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1625 ROCKAWAY PKWY, BROOKLYN, NY 11236
(718) 444-6226
(718) 444-6250
Mailing address
1625 ROCKAWAY PKWY, BROOKLYN, NY 11236
(718) 444-6226
(718) 444-6250
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
023454
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00289170
—
NY
Enumeration date
03/31/2006
Last updated
03/07/2023
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