Healthcare Provider Details

I. General information

NPI: 1942254305
Provider Name (Legal Business Name): DENNIS P BENN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2284 S BALLENGER HWY SUITE F
FLINT MI
48503-3446
US

IV. Provider business mailing address

2284 S BALLENGER HWY SUITE F
FLINT MI
48503-3446
US

V. Phone/Fax

Practice location:
  • Phone: 810-235-5181
  • Fax: 810-235-5190
Mailing address:
  • Phone: 810-235-5181
  • Fax: 810-235-5190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number2301004346
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: