Bender Dental Associates

LBN: Bender Dental Associates
Bender Dental Associates is an health care organization with primary practice located at 4550 Manhattan Rd , Jackson MS 39206-6022. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Bender Dental Associates can be contacted via phone (601) 362-0460, or through Bender, Teresa Manogin via phone (601) 362-0460.

Contact Information

Primary practice address
4550 Manhattan Rd Jackson MS 39206-6022
Phone: (601) 362-0460
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bender, Teresa Manogin Doctor of Dental Medicine (DMD)
Phone: (601) 362-0460

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2833-94 Mississippi

Profile Details

NPI number 1003099839
LBN Legal business name Bender Dental Associates
DBA Doing business as
Authorized official Bender, Teresa Manogin Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 15th, 2007
Last updated Aug 31st, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003099839 NPPES
Mississippi MEDICAID 01528564

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