# BENNETT DENTAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BENNETT DENTAL CORPORATION
- **Other names:** Apnea & Breathing Clinic Bennett Dental Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1083156517
- **Legal business name:** BENNETT DENTAL CORPORATION
- **Authorized official:** CHASE ALAN BENNETT (CEO)
- **Authorized official phone:** (918) 638-3102

## Contact information

- **Practice address:** 5230 CARROLL CANYON RD STE 326, SAN DIEGO, CA 92121-1781
- **Practice address phone:** (619) 494-5091
- **Practice address fax:** (619) 881-0408
- **Mailing address:** 5230 CARROLL CANYON RD STE 326, SAN DIEGO, CA 92121-1781
- **Mailing address phone:** (619) 494-5091

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 61279 | CA | Yes |

## Other

- **Enumeration date:** 11/15/2016
- **Last updated:** 11/26/2025