Individual
DR. ANDREW PHILLIP BENFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
4102 PINION DRIVE, 10TH MEDICAL GROUP, USAF ACADEMY, CO 80840-2502
(719) 333-5192
Mailing address
4102 PINION DRIVE, 10TH MEDICAL GROUP, USAF ACADEMY, CO 80840-2502
(719) 333-5192
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN014597
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/11/2013
Last updated
07/17/2020
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