# BRUCE P. BENIFIEL, D.D.S., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Benifiel Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992898241
- **Authorized official:** DR. BRUCE PHILIP BENIFIEL D.D.S. (PRESIDENT)
- **Authorized official phone:** (574) 277-7733

## Contact information

- **Practice address:** 925 E UNIVERSITY DR, GRANGER, IN 46530-4465
- **Practice address phone:** (574) 277-7733
- **Practice address fax:** (574) 277-8436
- **Mailing address:** 925 E UNIVERSITY DR, GRANGER, IN 46530-4465
- **Mailing address phone:** (574) 277-7733
- **Mailing address fax:** (574) 277-8436

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12008886 | IN | Yes |

## Other

- **Enumeration date:** 10/01/2006
- **Last updated:** 08/22/2020