Derek John Benning, DMD Valid NPI
Individual provider · General Practice Dentistry · Litchfield, IL
- NPI
- 1295467256
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 019033856 (IL)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2022-06-28
- Last updated
- 2022-06-28
Practice location
318 N Madison St
Litchfield, IL 62056-1911
(217) 303-8787