Individual provider · Type 1 NPI

Benjamin Graham Bacon, DDS

General Practice Dentistry · Vandenberg Afb, CA

NPI number 1710476924 Active

Practice location

338 S Dakota Ave Bldg 13850
Vandenberg Afb, CA 93437-6307

Call (361) 815-9929 Map

Mailing address

817 Bass Landing Pl
Greensboro, NC 27455-3440

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X10867252-9921 (UT)
General Practice Dentistry Primary 1223G0001X12605 (NC)

General Practice Dentistry: 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.

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About NPI 1710476924

Benjamin Graham Bacon, DDS's National Provider Identifier is 1710476924, issued on May 2, 2018. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Vandenberg Afb, CA. The record was last updated on Jul 27, 2025.