IndividualActive
Charles Bencivengo, D.M.D.
NPI 1215029368 · General Practice Dentistry · Bristol, CT
Charles Bencivengo, D.M.D. is a General Practice Dentistry provider in Bristol, CT (NPI 1215029368).
Provider details
- NPI number
- 1215029368
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 4945 (CT)
Practice location
21 Pleasant St
Bristol, CT 06010-6254
Phone: (860) 582-8095
Fax: (860) 589-3615
Street-level locationGet directions
Mailing address
21 Pleasant St
Bristol, CT 06010-6254
Registry dates
- Enumerated
- 2006-09-28
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.