Individual provider · Type 1 NPI

JR Bennett, DMD

Student in an Organized Health Care Education/Training Program · San Diego, CA

NPI number 1669260113 Active

Practice location

4060 Fairmount Ave
San Diego, CA 92105-1608

Call (619) 280-4213 Map

Mailing address

410 Center Green Dr
Las Vegas, NV 89148-5222

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1669260113

JR Bennett, DMD's National Provider Identifier is 1669260113, issued on Apr 25, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Apr 25, 2025.