# BENEDICT E HOMER DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467562199
- **Authorized official:** BENEDICT E HOMER DDS (PRESIDENT)
- **Authorized official phone:** (972) 276-7653

## Contact information

- **Practice address:** 813 N JUPITER RD, GARLAND, TX 75042
- **Practice address phone:** (972) 276-7653
- **Practice address fax:** (972) 276-7653
- **Mailing address:** 813 N JUPITER RD, GARLAND, TX 75042
- **Mailing address phone:** (972) 276-7653
- **Mailing address fax:** (972) 276-7653

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 8121 | TX | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 08/22/2020