| Benchmark Family Dental | |
|
806 E Avenue D Suite C Copperas Cove TX 76522-2284 | |
| (254) 547-4866 | |
| Not Available |
| Full Name | Benchmark Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 806 E Avenue D, Copperas Cove, Texas |
| Authorized Official Name and Position | Richard F Fossum (OWNER) |
| Authorized Official Contact | 2547783900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benchmark Family Dental 806 E Avenue D Suite C Copperas Cove TX 76522-2284 Ph: (254) 547-4866 | Benchmark Family Dental 806 E Avenue D Suite C Copperas Cove TX 76522-2284 Ph: (254) 547-4866 |
| NPI Number | 1699088666 |
|---|---|
| Provider Enumeration Date | 07/20/2010 |
| Last Update Date | 07/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699088666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19639 (Texas) | Primary |
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