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Oral Surgery, Dental Specialists

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RICHARD BENNINGER DDS

Oral and Maxillofacial Surgery

Medina, Ohio

Provider NPI: 1811076979

Provider Information:
 RICHARD  BENNINGER DDS
Gender: M
Sole Proprietor


Practice Location:
5002 FOOTE RD  MEDINA, OH 44256 US
Tel: 330-725-8449  Fax: 330-722-1805

Business Mailing Address:
5002 FOOTE RD  MEDINA, OH 44256 US
Tel: 330-725-8449  Fax: 330-722-1805

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223S0112XDental Providers
Dentist
Oral and Maxillofacial Surgery
OH301847

Other Provider Identifiers:

IssuerNumberStateType
MEDICARE PTAN9251381OH01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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