Benninger, Bruce
Benninger, Bruce is an sole proprietor health care provider with primary practice located at 4534 Precissi Ln , Stockton CA 95207-6213. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Benninger, Bruce can be contacted via phone (209) 478-5167.Contact Information
Primary practice address
4534 Precissi Ln
Stockton CA 95207-6213
Phone: (209) 478-5167
Fax: (209) 478-2313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 17238 | California |
Profile Details
| NPI number | 1982737797 |
|---|---|
| LBN Legal business name | Benninger, Bruce |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982737797 | NPPES |
| California | Other | 94 2L88487 | TAX ID |
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