Individual
DR. STEVEN R BENGTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
16 WALL ST, CONCORD, NH 03301-3743
(603) 228-3384
(603) 228-3366
Mailing address
16 WALL ST, CONCORD, NH 03301-3743
(603) 228-3384
(603) 228-3366
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2099
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30313381
—
NH
Enumeration date
03/20/2007
Last updated
07/08/2007
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