Organization
BENNETT DENTAL CORPORATION
Active
Parent organization
BENNETT DENTAL CORPORATION
Other names
Apnea & Breathing Clinic Bennett Dental Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
BENNETT DENTAL CORPORATION
Authorized official
CHASE ALAN BENNETT (CEO)
(918) 638-3102
Entity
Organization
Contact information
Practice address
5230 CARROLL CANYON RD STE 326, SAN DIEGO, CA 92121-1781
(619) 494-5091
(619) 881-0408
Mailing address
5230 CARROLL CANYON RD STE 326, SAN DIEGO, CA 92121-1781
(619) 494-5091
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
61279
CA
Other
Enumeration date
11/15/2016
Last updated
11/26/2025
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