Organization
ANDY BENNION D M D M S P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ANDERSON BENNION D.M.D. (DOCTOR)
(541) 687-1151
Entity
Organization
Contact information
Practice address
2233 WILLAMETTE ST STE A, EUGENE, OR 97405-2890
(541) 687-1151
(541) 345-0126
Mailing address
2233 WILLAMETTE ST STE A, EUGENE, OR 97405-2890
(541) 687-1151
(541) 345-0126
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D7367
OR
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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