MEDICARE: DR. RICHARD DAVID BENNER DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	28124	CA

General Provider Information

NPI Number	:	1386646776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD DAVID BENNER DDS

Provider Business Mailing Address
First Line	:	36 MALAGA COVE PLZ
Second Line	:
City	:	PALOS VERDES ESTATES
State	:	CA
Zip	:	90274-6811
Country	:	US
Telephone Number	:	310-375-8888
Fax Number	:	310-375-7883

Provider Business Practice Location Address
First Line	:	36 MALAGA COVE PLZ
Second Line	:
City	:	PALOS VERDES ESTATES
State	:	CA
Zip	:	90274-6811
Country	:	US
Telephone Number	:	310-375-8888
Fax Number	:	310-375-7883

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1760402036 — MS. ERIKA MARIA BARRANTES L.AC.
Practice Location Address:

36 MALAGA COVE PLZ , SUITE 203
PALOS VERDES ESTATES, CA
90274-6811

Practice Phone: 310-373-7363
Practice Fax: 310-373-7365

1003946203 — DR. MICHAEL R SIMON DDS
Practice Location Address:

36 MALAGA COVE PLZ , SUITE #310
PALOS VERDES ESTATES, CA
90274-6811

Practice Phone: 310-375-8888
Practice Fax: 310-375-7883

1265561955 — NANCY BARNETT L.AC.
Practice Location Address:

36 MALAGA COVE PLZ , SUITE 203
PALOS VERDES ESTATES, CA
90274-6811

Practice Phone: 310-791-2624
Practice Fax:

1205099413 — MS. PAULA L. LYNN CAPPS L.AC.
Practice Location Address:

36 MALAGA COVE PLZ , SUITE 203
PALOS VERDES ESTATES, CA
90274-6811

Practice Phone: 310-750-5669
Practice Fax:

1346479631 — SHERRY LYNN GREENBERG LMFT
Practice Location Address:

36 MALAGA COVE PLZ , SUITE 207
PALOS VERDES ESTATES, CA
90274-6811

Practice Phone: 310-791-2013
Practice Fax:

1437468519 — YUSUKE MORI L.AC
Practice Location Address:

36 MALAGA COVE PLZ , SUITE203
PALOS VERDES ESTATES, CA
90274-6811

Practice Phone: 310-791-0437
Practice Fax:

Directions to “ DR. RICHARD DAVID BENNER DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.