Bennerman, Christian Clarence

Bennerman, Christian Clarence is an sole proprietor health care provider with primary practice located at 2653 Lakevilla Dr , Nashville TN 37217-3836. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bennerman, Christian Clarence can be contacted via phone (615) 840-8149.

Contact Information

Primary practice address
2653 Lakevilla Dr Nashville TN 37217-3836
Phone: (615) 840-8149
Fax: (615) 982-8989
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 8190 Tennessee

Profile Details

NPI number 1598830770
LBN Legal business name Bennerman, Christian Clarence
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2006
Last updated Dec 13th, 2019 - about 5 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 1598830770 NPPES
Tennessee MEDICAID Q052725

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