Bienstock, Lisa Beth

Bienstock, Lisa Beth is an individual health care provider with primary practice located at 1934 E Camelback Rd Ste 110 , Phoenix AZ 85016-4126. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Bienstock, Lisa Beth can be contacted via phone (602) 903-4894.

Contact Information

Primary practice address
1934 E Camelback Rd Ste 110 Phoenix AZ 85016-4126
Phone: (602) 903-4894
Fax: (602) 675-9843
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X P57185 New York
Dental Providers / Dentist 122300000X D7308 Arizona
Dental Providers / Pediatric Dentistry 1223P0221X 054398 New York
Dental Providers / Pediatric Dentistry 1223P0221X D07308 Arizona

Profile Details

NPI number 1053561035
LBN Legal business name Bienstock, Lisa Beth
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2008
Last updated Mar 7th, 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 1053561035 NPPES
Arizona MEDICAID 080451

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