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BENSON ORAL SURGERY AND DENTAL IMPLANTS LLC NPI 1740548015


NPI Information

NPI: 1740548015
Provider Name: BENSON ORAL SURGERY AND DENTAL IMPLANTS, LLC
Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
8809 W 400 N
SUITE 2
MICHIGAN CITY, IN
ZIP 46360
Phone: (219) 879-8710
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BENSON ORAL SURGERY AND DENTAL IMPLANTS, LLC is an oral and maxillofacial surgery clinic center in Michigan City, IN. The provider is an oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. BENSON ORAL SURGERY AND DENTAL IMPLANTS, LLC NPI is 1740548015. The provider is registered as an organization entity type.

The provider's business location address is:

8809 W 400 N
SUITE 2
MICHIGAN CITY, IN
ZIP 46360-330
Phone: (219) 879-8710

The provider's authorized official is Gregory Steven Benson .
The authorized official title is Owner and has the following contact phone number (219) 879-8710.

The enumeration date for this NPI number is 4/24/2012 and was last updated on 4/24/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS0112XClinic/CenterOral and Maxillofacial Surgery12011706AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1V01675MEDICARE UPIN
233791200MEDICAIDWISCONSIN
3201031920AMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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