DR. CHASE ALAN BENNETT DDS NPI 1043566706

NPI Information

NPI: 1043566706
Provider Name: DR. CHASE ALAN BENNETT, DDS
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
9474 KEARNY VILLA RD
SUITE 102
SAN DIEGO, CA
ZIP 92126
Phone: (619) 494-5091
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DR. Chase Alan Bennett, DDS is a specialist in San Diego, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Chase Alan Bennett, DDS NPI is 1043566706. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9474 KEARNY VILLA RD
SUITE 102
SAN DIEGO, CA
ZIP 92126-595
Phone: (619) 494-5091
Fax: (619) 881-0408

The enumeration date for this NPI number is 7/31/2012 and was last updated on 9/3/2020.

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
1	122300000X	Dentist		61279	CALIFORNIA	No
2	122300000X	Dentist		202272	COLORADO	No
3	174400000X	Specialist		202272	COLORADO	No
4	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			No
5	174400000X	Specialist		61279	CALIFORNIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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