Benson Oral Surgery and Dental Implants, LLC
NPI #1740548015 in Michigan City, Indiana
Provider Information
- NPI Number
- 1740548015
- Entity Type
- Organization
- Organization Name
- Benson Oral Surgery and Dental Implants, LLC
- Primary Specialty
- Clinic/Center - Oral and Maxillofacial Surgery
- Enumeration Date
- Apr 24, 2012
- Last Updated
- Apr 24, 2012
Practice Location
- Address
- 8809 W 400 N
- Address 2
- SUITE 2
- City
- Michigan City
- State
- Indiana
- ZIP Code
- 46360-9330
- Phone
- (219) 879-8710
Authorized Official
- Name
- GREGORY STEVEN BENSON, DDS
- Title
- OWNER
- Phone
- (219) 879-8710
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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