CHARLES ALFRED BENAVIDEZ SR. (NPI# 1487208310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487208310 |
| Entity Type | Individual |
| Full Name | CHARLES ALFRED BENAVIDEZ SR. |
| Credential | DDS |
| Practice Address |
8007 Laguna Blvd Ste 3 Elk Grove CA 95758-8127 |
| Practice Telephone | 9166833011 |
| Mailing Telephone | 9166833011 |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2019-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
42805 | CA | Dental Providers |
| Street Address |
8007 LAGUNA BLVD STE 3 |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95758-8127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244208 | Obia Njoku | Nurse Practitioner | 9105 Bruceville Rd Ste 1a #580405, Elk Grove, CA 95758 | 2020-01-14 |
| 1992362362 | Kimberly Abrahamson | Student in an Organized Health Care Education/Training Program | 9412 Big Horn Dr #6, Elk Grove, CA 95758 | 2019-05-21 |
| 1447737333 | Elk Grove Rehab & Counseling Center | Counselor | 7807 Laguna Blvd., Suite 480, Elk Grove, CA 95758 | 2018-07-24 |
| 1114424579 | Arielle Mize | Dietitian, Registered | 8161 Sheldon Road, #103, Elk Grove, CA 95758 | 2018-04-11 |
| 1154822609 | Eston Garcia | Behavior Technician | 2366 Martime Drive, Elk Grove, CA 95758 | 2018-02-21 |
| 1912406364 | Nicole Torneros | Behavior Technician | 2336 Maritime Drive, Elk Grove, CA 95758 | 2018-02-12 |
| 1134628712 | Northern California Vasectomy | Family Medicine | 9045 Bruceville Rd Ste 100b, Elk Grove, CA 95758 | 2018-02-08 |
| 1083134399 | Uchechi Mbonu | Assisted Living Facility | 7019 Mcgill Court, Elk Grove, CA 95758 | 2017-06-27 |
| 1922557362 | Muhanad Aliakbar | Driver | 8275 Oakbriar Cir, Elk Grove, CA 95758 | 2016-09-27 |
| 1063868123 | Teresa Vinciguerra | Marriage & Family Therapist | 9412 Elk Horn Blvd, Suite 6, Elk Grove, CA 95758 | 2016-05-09 |
| Find all providers in zip 95758 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473719 | G. Sekhon, A Professional Corp | Dentist | 9307 Laguna Springs Dr Ste 110, Elk Grove, CA 95758-7845 | 2020-10-02 |
| 1285286203 | Trevor John Dominic Chen | Dentist | 9117 Trumbauer Way, Elk Grove, CA 95758-7434 | 2019-07-10 |
| 1629535463 | Mona M Ragaie | Dentist | 5500 Mariolyn Way, Elk Grove, CA 95757-1625 | 2019-02-28 |
| 1215410170 | Quoc Christopher Nguyen | Dentist | 4809 Laguna Blvd Ste 90, Elk Grove, CA 95758-7044 | 2018-09-07 |
| 1467806588 | Amardeep Bains | Dentist | 9250 Laguna Springs Drive, Suite 205, Elk Grove, CA 95758 | 2016-04-14 |
| 1578961504 | Laguna Springs Dental | Dentist | 9299 Laguna Springs Dr, #100, Elk Grove, CA 95758-7976 | 2014-12-08 |
| 1558763771 | S Park Dds Inc | Dentist | 9727 Elk Grove Florin Rd Ste 155, Elk Grove, CA 95624-2291 | 2014-09-18 |
| 1174888044 | Roy A Eakin | Dentist | 9345 Boulder River Way, Elk Grove, CA 95624-4052 | 2012-07-06 |
| 1740517580 | Kirk Youngman | Dentist | 8013 Laguna Blvd, Ste #2, Elk Grove, CA 95758-7920 | 2009-11-16 |
| 1730313677 | Chuenchie Chiang | Dentist | 8760 Center Pkwy, G343, Elk Grove, CA 95758-8438 | 2009-05-06 |
| Find all providers in ELK GROVE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.