Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962402974 Individual Practitioner Male Practitioner

Dr. Sean A Benson , DDS

Dentist - General Practice • Portland, OR

Professional Overview & Biography Verified Profile Summary

Dr. Sean Benson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Portland, OR. Practice services are available at 3181 SW SAM JACKSON PARK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3181 Sw Sam Jackson Park Rd

Portland, OR 972393011

Telephone 5034948916
Fax 5034940294
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
448 Specialists

Practicing in Portland, OR (1994 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D7685

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
01887 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
NPI 1184544389

Doctor of Dental Medicine

Dr. Daniel Petrisor , DMD, MD

Oral & Maxillofacial Surgery

NPI 1235332834

Doctor of Dental Medicine, Doctor of Medicine (M.D.)

Keith Brannen

Dentist - General Practice

NPI 1316391402
Dr. Mark Engelstad , MD, DDS

Oral & Maxillofacial Surgery

NPI 1437102746

Doctor of Medicine (M.D.), Doctor of Dental Surgery

Dr. Jonathan Jelmini , DDS, MD

Oral & Maxillofacial Surgery

NPI 1477000164

Doctor of Dental Surgery, Doctor of Medicine (M.D.)

Dr. Reza Heshmati , DDS

Dentist - Prosthodontics

NPI 1508929753

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location July 03, 2019

Registered at 3181 SW SAM JACKSON PARK RD, PORTLAND, OR 972393011 (Tel: 5034948916)

📍
Updated Business Mailing Address July 03, 2019

Registered at 3181 SW SAM JACKSON PARK RD, PORTLAND, OR 972393011 (Tel: 5034948916)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1831 1ST ST, BAKER CITY, OR 978143442 (Tel: 5415232144)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1831 1ST ST, BAKER CITY, OR 978143442 (Tel: 5415232144)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SEAN BENSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #D7685 in OR)

🟢
Initial NPI Registration & Enumeration August 01, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962402974
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2005
Last Update: July 03, 2019
Sole Proprietor: No

Mailing Address

3181 Sw Sam Jackson Park Rd

Portland, OR 972393011

Phone: 5034948916

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.