DR. STEPHEN CHARLES DIBENEDETTO D.D.S.
NPI 1811125578
Dentist - General Practice in Southbury, CT

Q: What is Stephen Dibenedetto's NPI number?

The NPI number for Stephen Dibenedetto is 1811125578. It was assigned to this individual provider in the NPPES registry on July 1, 2009.

Q: What is Stephen Dibenedetto's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since July 01, 2009PECOS Enrolled

30 QUAKER FARMS RD, SOUTHBURY, CT 06488(203) 264-4351(203) 264-8751 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Dr. Stephen Charles Dibenedetto D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEPHEN CHARLES DIBENEDETTO D.D.S. (NPI 1811125578) is an individual general practice provider in Southbury, Connecticut, licensed in Connecticut (010063) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in East Hartford.

NPPES Registry Identity

NPI1811125578

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. STEPHEN CHARLES DIBENEDETTOCredential: D.D.S.

Location Address30 QUAKER FARMS RDSouthbury, CT 06488-2732

Mailing Address30 Quaker Farms RdSouthbury, CT 06488-2732 · (203) 264-4351 · Fax (203) 264-8751

Phone(203) 264-4351

Fax(203) 264-8751

Sole ProprietorYes

Enumeration DateJuly 1, 2009

Last NPPES UpdateMay 12, 2021

NPPES CertifiedMay 12, 2021

✔ NPI 1811125578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CT · 010063

Definition

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.

30 QUAKER FARMS RD, Southbury, CT 06488

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Secondary Practice Location 1

Location 194 Connecticut BlvdEast Hartford, CT 06108-3013 · Phone (860) 528-1359 · Fax (860) 290-4142

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephen Charles Dibenedetto D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06488 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$75.55 typical visit price

range $19.76 – $149.26

Typical copayment $18.88 (range $4.94 – $37.31)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AMULYA KOTHA DMD

Dentist (General Practice)