Organization
BENSON ORAL SURGERY AND DENTAL IMPLANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY STEVEN BENSON DDS (OWNER)
(219) 879-8710
Entity
Organization
Contact information
Practice address
8809 W 400 N, SUITE 2, MICHIGAN CITY, IN 46360-9330
(219) 879-8710
Mailing address
8809 W 400 N, SUITE 2, MICHIGAN CITY, IN 46360-9330
(219) 879-8710
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
12011706A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201031920A
—
IN
05
—
33791200
—
WI
Enumeration date
04/24/2012
Last updated
04/24/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us