Individual
DR. DEREK JOHN BENNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
318 N MADISON ST, LITCHFIELD, IL 62056-1911
(217) 303-8787
Mailing address
318 N MADISON ST, LITCHFIELD, IL 62056-1911
(217) 303-8787
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019033856
IL
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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