Benivegna, Vincent Vern

Benivegna, Vincent Vern is an individual health care provider with primary practice located at 325 W Lake Lansing Rd , East Lansing MI 48823-8524. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Benivegna, Vincent Vern can be contacted via phone (517) 337-9759.

Contact Information

Primary practice address
325 W Lake Lansing Rd East Lansing MI 48823-8524
Phone: (517) 337-9759
Fax: (517) 337-8156
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2901015585 Michigan

Profile Details

NPI number 1326032988
LBN Legal business name Benivegna, Vincent Vern
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Oct 26th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326032988 NPPES
Michigan MEDICAID 10-3360161

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