Bennett, Chase Alan

Bennett, Chase Alan is an sole proprietor health care provider with primary practice located at 9474 Kearny Villa Rd Suite 102, San Diego CA 92126-4595. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Other Service Providers / Specialist, Suppliers / Customized Equipment. Other Service Providers / Specialist is his primary health care specialty. Bennett, Chase Alan can be contacted via phone (619) 494-5091.

Contact Information

Primary practice address
9474 Kearny Villa Rd Suite 102 San Diego CA 92126-4595
Phone: (619) 494-5091
Fax: (619) 881-0408
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 61279 California
Dental Providers / Dentist 122300000X 202272 Colorado
Other Service Providers / Specialist 174400000X 202272 Colorado
Suppliers / Customized Equipment 332BC3200X
Other Service Providers / Specialist 174400000X 61279 California

Profile Details

NPI number 1043566706
LBN Legal business name Bennett, Chase Alan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2012
Last updated Sep 3rd, 2020 - about 4 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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