Individual
DAVID ANDERSON BENNION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD MS
Contact information
Practice address
2233-A WILLAMETTE ST, EUGENE, OR 97405
(541) 687-1151
(541) 345-0126
Mailing address
2233-A WILLAMETTE ST, EUGENE, OR 97405
(541) 687-1151
(541) 345-0126
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D7367
OR
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D7367
OR
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
12/30/2005
Last updated
05/17/2012
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