Individual provider · Type 1 NPI

Bruce Benninger, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Stockton, CA

NPI number 1982737797 Active

Practice location

4534 Precissi Ln
Stockton, CA 95207-6213

Fax (209) 478-2313

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	17238 (CA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1982737797

Bruce Benninger, DDS's National Provider Identifier is 1982737797, issued on Mar 13, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Stockton, CA. The record was last updated on Jul 8, 2007.