Benassi, Nathanael David

Benassi, Nathanael David is an individual health care provider with primary practice located at 8391 Greenway Blvd Ste 100 , Middleton WI 53562-3544. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Benassi, Nathanael David can be contacted via phone (815) 979-3837.

Contact Information

Primary practice address
8391 Greenway Blvd Ste 100 Middleton WI 53562-3544
Phone: (815) 979-3837
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019.029572 Illinois
Dental Providers / Pediatric Dentistry 1223P0221X 1002348 Wisconsin

Profile Details

NPI number 1225461247
LBN Legal business name Benassi, Nathanael David
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2013
Last updated Apr 28th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225461247 NPPES
Illinois Other 019-029572 IL STATE DENTAL LICENSE

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