Paul Roy Bengtson, DDS is a
Dentist - General Practice based in Blackduck, Minnesota. Paul Roy Bengtson is licensed to practice in Minnesota (license number 7789) and his current practice location is
49 Summit Ave E, Blackduck, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(218) 835-4227.
NPI number for Paul Roy Bengtson is 1225203359 and his current mailing address is Po Box 308, Blackduck, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225203359.
Healthcare Provider's Profile
| Full Name | Paul Roy Bengtson |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 49 Summit Ave E, Blackduck, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1225203359
- Provider Enumeration Date: 04/29/2008
- Last Update Date: 04/29/2008
Medical Identifiers
Medical identifiers for Paul Roy Bengtson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225203359 | NPI | - | NPPES |
| 141818100 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 7789 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Paul Roy Bengtson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Paul Roy Bengtson, DDS
Po Box 308,
Blackduck, MN 56630-0308
Ph: (218) 835-4227 | Paul Roy Bengtson, DDS
49 Summit Ave E,
Blackduck, MN 56630
Ph: (218) 835-4227 |
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