Provider Demographics
NPI:1235336249
Name:GESSFORD, BEN (DDS)
Entity Type:Individual
Prefix:
First Name:BEN
Middle Name:
Last Name:GESSFORD
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 1:6040 VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-6640
Mailing Address - Country:US
Mailing Address - Phone:402-420-2222
Mailing Address - Fax:402-420-7045
Practice Address - Street 1:6040 VILLAGE DR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-6640
Practice Address - Country:US
Practice Address - Phone:402-420-2222
Practice Address - Fax:402-420-0745
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE67021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice