Organization
BENNING ORTHODONTICS, PC
Active
Other names
Benning and Mathews Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN N BENNING D.D.S. (OWNER)
(719) 598-7700
Entity
Organization
Contact information
Practice address
415 W ROCKRIMMON BLVD, SUITE 100, COLORADO SPRINGS, CO 80919-1776
(719) 598-7700
(719) 596-0862
Mailing address
415 W ROCKRIMMON BLVD, SUITE 100, COLORADO SPRINGS, CO 80919-1776
(719) 598-7700
(719) 596-0862
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
00000011
CO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
00008716
CO
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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