| Benifiel Dentistry | |
|
925 E University Dr Granger IN 46530-4465 | |
| (574) 277-7733 | |
| (574) 277-8436 |
| Full Name | Benifiel Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 925 E University Dr, Granger, Indiana |
| Authorized Official Name and Position | Bruce Philip Benifiel (PRESIDENT) |
| Authorized Official Contact | 5742777733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benifiel Dentistry 925 E University Dr Granger IN 46530-4465 Ph: (574) 277-7733 | Benifiel Dentistry 925 E University Dr Granger IN 46530-4465 Ph: (574) 277-7733 |
| NPI Number | 1992898241 |
|---|---|
| Provider Enumeration Date | 10/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992898241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12008886 (Indiana) | Primary |
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