DR. BENJAMIN GRAHAM BACON DDS NPI 1710476924

NPI Information

  • NPI: 1710476924
  • Provider Name: DR. BENJAMIN GRAHAM BACON, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 338 S DAKOTA AVE BLDG 13850
    VANDENBERG AFB, CA
    ZIP 93437
  • Phone: (361) 815-9929

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NPI Details

DR. Benjamin Graham Bacon, DDS is a general practice dentist in Vandenberg Afb, 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. DR. Benjamin Graham Bacon, DDS NPI is 1710476924. 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:

338 S DAKOTA AVE BLDG 13850
VANDENBERG AFB, CA
ZIP 93437-307
Phone: (361) 815-9929

The enumeration date for this NPI number is 5/2/2018 and was last updated on 7/27/2025.

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
1122300000XDentist10867252-9921UTAHNo
21223G0001XDentistGeneral Practice12605NORTH CAROLINAYes

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: 11/21/2025

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