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TIMOTHY BENNETT DENTAL CORPORATION NPI 1750471140


NPI Information

NPI: 1750471140
Provider Name: TIMOTHY BENNETT DENTAL CORPORATION

Doing Business As: WALERGA DENTAL GROUP

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
8008 WALERGA RD
STE. 100
ANTELOPE, CA
ZIP 95843
Phone: (916) 725-4530
Get Directions

TIMOTHY BENNETT DENTAL CORPORATION is a general practice dentist in Antelope, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. TIMOTHY BENNETT DENTAL CORPORATION NPI is 1750471140. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Walerga Dental Group.

The provider's business location address is:

8008 WALERGA RD
STE. 100
ANTELOPE, CA
ZIP 95843
Phone: (916) 725-4530
Fax: (916) 725-4560

The provider's authorized official is Timothy Bennett .
The authorized official title is Owner Dds and has the following contact phone number (916) 725-4530.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 5/11/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

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: 4/28/2024

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