Individual
DR. JOHN WAYNE BENNION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
152 S 32ND ST W, SUITE B, BILLINGS, MT 59102-6848
(406) 655-0170
(406) 655-2271
Mailing address
152 S 32ND ST W, SUITE B, BILLINGS, MT 59102-6848
(406) 655-0170
(406) 655-2271
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1516
MT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
5246
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112625
—
MT
01
—
41004
BCBS
MT
01
—
5512234
CHIP
MT
01
—
P00053799
RR MEDICARE
MT
Enumeration date
09/21/2006
Last updated
07/09/2007
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