# SPANISH SPRINGS FAMILY DENTAL

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

## Provider details

- **NPI number:** 1912125162
- **Authorized official:** DR. CHRISTOPHER JOHN BENNET DDS (OWNER)
- **Authorized official phone:** (775) 626-6556

## Contact information

- **Practice address:** 5050 VISTA BLVD, SUITE 107, SPARKS, NV 89436-2844
- **Practice address phone:** (775) 626-6556
- **Practice address fax:** (775) 626-6564
- **Mailing address:** 5050 VISTA BLVD, SUITE 107, SPARKS, NV 89436-2844
- **Mailing address phone:** (775) 626-6556
- **Mailing address fax:** (775) 626-6564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3323 | NV | Yes |

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 08/22/2020
