Provider Demographics
NPI:1538244520
Name:BENKEL, HERBERT DANIEL (DDS)
Entity type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:DANIEL
Last Name:BENKEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:RIVER EDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07661-1914
Mailing Address - Country:US
Mailing Address - Phone:201-487-5444
Mailing Address - Fax:201-487-3853
Practice Address - Street 1:80 GRAND AVE
Practice Address - Street 2:
Practice Address - City:RIVER EDGE
Practice Address - State:NJ
Practice Address - Zip Code:07661-1914
Practice Address - Country:US
Practice Address - Phone:201-487-5444
Practice Address - Fax:201-487-3853
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI011167001223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics