Bruce P. Benifiel, D.D.S., P.C.
Dentist, General Practice in Granger, IN. Organization (NPI-2).
NPI number1992898241
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1992898241
- Entity type
- Organization (NPI-2)
- Legal business name
- Bruce P. Benifiel, D.D.S., P.C.
- Organization subpart
- No
- Enumeration date
- Oct 1, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 12008886 | IN | Yes |
Other names
- Benifiel Dentistry (Doing Business As)
Practice location
925 E University DrGranger, IN 46530-4465
Phone 574-277-7733 · Fax 574-277-8436
Mailing address
925 E University DrGranger, IN 46530-4465
Phone 574-277-7733 · Fax 574-277-8436
Authorized official
Bruce Philip Benifiel
President
5742777733
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