NPI 1760509756 · live from the CMS NPI Registry
Edwin Wridge Bennion, D.M.D.
Dentist, Orthodontics and Dentofacial Orthopedics in Medford, OR. National Provider Identifier 1760509756, active.
NPI record
| NPI | 1760509756 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 725 Golf View Dr, Medford, OR 97504 |
| Practice phone | 541-779-7936 |
| Enumerated | March 23, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | D7305 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.