Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Isaac Benichou, DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1902430903

Michael Isaac Benichou, DMD is a Maxillofacial Surgery in White Plains, New York. Qualified in 2020, 6 years ago. Practices with Vision Surgical Arts LLC, an 8-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Missouri, New Jersey and New York.

Years since qualifying
6
Licensed in
MO, NJ, NY
In the registry since
2020
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

4 Cromwell Pl
White Plains, NY 10601-5006
Phone: (914) 761-4567
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 621 S New Ballas Rd Ste 16a, Saint Louis, MO 63141-8239 — (314) 251-6725
  • 121 Dekalb Ave, Brooklyn, NY 11201-5493 — (718) 250-8000

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 065311 (NY)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 22DI03132800 (NJ)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 2024047430 (MO)

Record details

NPI number1902430903
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedFebruary 27, 2020
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026
Mailing address2000 Linwood Ave Apt 23v, Fort Lee, NJ 07024-3015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Vision Surgical Arts Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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