Benoit, Jason R

Benoit, Jason R is an individual health care provider with primary practice located at 3024 Victoria St , Bettendorf IA 52722-2793. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Benoit, Jason R can be contacted via phone (563) 332-2447.

Contact Information

Primary practice address
3024 Victoria St Bettendorf IA 52722-2793
Phone: (563) 332-2447
Fax: (563) 332-9787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 08005 Iowa

Profile Details

NPI number 1043224637
LBN Legal business name Benoit, Jason R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043224637 NPPES
Iowa Other 1308450 UNITED CONCORDIA
Iowa Other 43077 UNITED CONCORDIA
Iowa MEDICAID 1188102 UNITED CONCORDIA

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