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Contact Information

BENDER DENTAL ASSOCIATES
4550 MANHATTAN RD
JACKSON, MS39206-6022
 Phone: 601-362-0460
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for BENDER DENTAL ASSOCIATES

NPI # 1003099839
LBN Legal business name BENDER DENTAL ASSOCIATES
Authorized official TERESA BENDER - (OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/15/2007
Last updated 08/31/2021 - About 5 years ago
Identifiers
MS License # 2833-94
MS Medicaid 01528564
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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