Bengson, Douglas T
Bengson, Douglas T is an individual health care provider with primary practice located at 515 20Th Ave Se Suite 8, Minot ND 58701-6661. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bengson, Douglas T can be contacted via phone (701) 852-4755.Contact Information
Primary practice address
515 20Th Ave Se Suite 8
Minot ND 58701-6661
Phone: (701) 852-4755
Fax: (701) 852-8016
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 1806 | North Dakota |
Profile Details
| NPI number | 1376752741 |
|---|---|
| LBN Legal business name | Bengson, Douglas T |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376752741 | NPPES |
| North Dakota | MEDICAID | 41094 | |
| North Dakota | Other | 901806 |
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