Bruce P. Benifiel, D.D.S., P.C.
Organization Active NPI General Practice Dentistry · Granger, IN
NPI 1992898241 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1992898241
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12008886 (IN)
- Legal business name
- BRUCE P. BENIFIEL, D.D.S., P.C.
- Practice address
- 925 E University Dr
Granger, IN 46530-4465 - Phone
- (574) 277-7733
- Fax
- (574) 277-8436
- NPI assigned
- Oct 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Bruce Philip Benifiel, D.D.S.
- Title
- President
- Phone
- (574) 277-7733
Practitioners 3
-
Bruce Philip Benifiel, D.D.S.
-
Zachary Jacob Gomola, DMD
National Provider Directory
Locations
925 E University Dr
Granger, IN 46530
Phone (574) 277-7733
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 12008886 | IN | Yes |
Addresses
Primary practice location
925 E University Dr
Granger, IN 46530-4465
Mailing address
925 E University Dr
Granger, IN 46530-4465
Phone (574) 277-7733
Other names
- Benifiel Dentistry
Other providers in Granger, IN
- Meg T. Brewer
- Randall Glenn Brooks
- Danielle Brown
- Glenda M. Brown
- Ann Marie Broz
- Manaal Buchh
- Muqsit Basharat Buchh
- Brett L Buda
- Benjamin Matthew Burkett
- Layne Elizabeth Burns
All providers in Granger, IN · General Practice Dentistry in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.