Bruce Benninger in Stockton - Orthodontics And Dentofacial Orthopedics
Bruce Benninger - NPI 1982737797
Bruce Benninger is a Orthodontics And Dentofacial Orthopedics in Stockton, California. Bruce Benninger practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Bruce Benninger is 1982737797. The last update date is 2007-07-08.
Bruce Benninger's current location address is 4534 Precissi Ln, Stockton, California. You can contact this provider via phone number 2094785167 and fax number 2094782313. The mailing address for Bruce Benninger is 4534 Precissi Ln, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Benninger |
|---|---|
| Address | 4534 Precissi Ln, Stockton, California |
| Phone Number | 2094785167 |
| Fax Number | 2094782313 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1982737797 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4534 Precissi Ln |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952076213 |
| Phone Number | 2094785167 |
| Fax Number | 2094782313 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 17238 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 94 2L88487 | CA | TAX ID |
Post Comment/ Review Below
What is the unique identifier code issued to Bruce Benninger by the Centers for Medicare & Medicaid Services (CMS)?
The Bruce Benninger has been assigned the NPI (National Provider Identifier) 1982737797. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Bruce Benninger is located?
The Bruce Benninger is situated at the following address: 4534 Precissi Ln, Stockton, CA, 952076213.
What is Bruce Benninger's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bruce Benninger is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that classifies this field of practice is 1223X0400X.
On what date did the Bruce Benninger receive its 1982737797 assignment from the Centers for Medicare & Medicaid Services?
The Bruce Benninger was assigned its 1982737797 by the Centers for Medicare & Medicaid Services on 2007-03-13.
When was the Bruce Benninger's information last updated?
The Bruce Benninger's information was last updated on 2007-07-08.