Provider Demographics
NPI:1457305609
Name:BELFIGLIO, BENJAMIN J (DDS)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:J
Last Name:BELFIGLIO
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 1:3008 LEIGHTON ST
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99517-1533
Mailing Address - Country:US
Mailing Address - Phone:907-243-1168
Mailing Address - Fax:
Practice Address - Street 1:724 POSTAL SERVICE LOOP
Practice Address - Street 2:#7500
Practice Address - City:FORT RICHARDSON
Practice Address - State:AK
Practice Address - Zip Code:99505-5001
Practice Address - Country:US
Practice Address - Phone:907-384-3119
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE00009763122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist