BENTON MODERN DENTISTRY, INC.
NPI 1871470922
Dentist - General Practice in Winchester, CA
NPI Status: Active since August 20, 2025
Contact Information
30890 BENTON RD
WINCHESTER, CA
ZIP 92596
Phone: (714) 845-8500
- Organization
- Dentist
- General Practice
- CLIA Number: 05D2343036
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 04-29-2028
About BENTON MODERN DENTISTRY, INC.
This page provides the complete NPI Profile along with additional information for Benton Modern Dentistry, Inc., a provider established in Winchester, California operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1871470922 assigned on August 2025. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated one year ago. Benton Modern Dentistry, Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Alexander Pollock (Owner)
- NPI
- 1871470922
- Provider Name
- BENTON MODERN DENTISTRY, INC.
- Entity Type
- Organization
- Location Address
- 30890 BENTON RD WINCHESTER, CA 92596
- Location Phone
- (714) 845-8500
- Mailing Address
- PO BOX 660041 DALLAS, TX 75266
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-20-2025
- Last Update Date
- 08-20-2025
- Code Navigator
A dentist like Benton Modern Dentistry, Inc. is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2343036
- Facility Type
- Practitioner Other
- Certificate Effective Date
- April 30, 2026
- Certificate Expiration Date
- April 29, 2028
- Laboratory Director
- ALEXANDER POLLOCK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Benton Modern Dentistry, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1871470922, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871470922, enumerated as an "organization" on August 20, 2025.
The provider is located at 30890 BENTON RD WINCHESTER, CA 92596 and the phone number is (714) 845-8500.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
