Benjamin N Bellavance
Dentist in Twentynine Palms, California
1386406999- Practice location
- 23RD Dental Company 1591 Griffin Road, Twentynine Palms, CA 92278
- Phone
- 760-830-7054
- Fax
- —
- Last updated
- July 22, 2025
Benjamin Neal Bellavance is a Dentist based in Twentynine Palms, CA. Benjamin Neal Bellavance practices in Twentynine Palms, CA. The NPI Number for Benjamin Neal Bellavance is 1386406999 and holds a License No. 14231492-9926 (UT). The current practice location address for Benjamin Neal Bellavance is 23RD Dental Company 1591 Griffin Road, Twentynine Palms, CA 92278 and can be reached out via phone at 760-830-7054.
Provider Profile Details
- NPI Number
- 1386406999
- Provider Name
- Benjamin Neal Bellavance
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 23RD Dental Company 1591 Griffin Road, Twentynine Palms, CA 92278
- Phone Number
- 760-830-7054
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 29, 2024
- Last Update Date
- July 22, 2025
- Certification Date
- July 14, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 23RD Dental Company 1591 Griffin Road
Twentynine Palms, CA 92278 - City
- Twentynine Palms
- State
- California
- Zip
- 92278
- Phone Number
- 760-830-7054
Provider Business Mailing Address Details
- Address
- 35 School St
Rehoboth, MA 02769-2203 - City
- Rehoboth
- State
- MA
- Zip
- 02769-2203
- Phone Number
- 774-565-0214
License Information
- Taxonomy (1)
- Clinic/Center, Student Health · 261QS1000X
- License Number (2)
- 14231492-9926
- License State (2)
- UT
- Taxonomy (2)
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Twentynine Palms, CA
View all Dentists in Twentynine Palms →Frequently Asked Questions
What is the NPI number of Benjamin N Bellavance?
The NPI number of Benjamin N Bellavance is 1386406999. It was assigned on January 29, 2024 and is currently active in the NPPES registry.
What is the specialty of Benjamin N Bellavance?
Benjamin N Bellavance is registered under the primary taxonomy Dentist (code 122300000X), licensed in UT under license number 14231492-9926.
Where does Benjamin N Bellavance practice?
The practice location is 23RD Dental Company 1591 Griffin Road, Twentynine Palms, CA 92278. The office can be reached at 760-830-7054 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386406999 directly on the NPPES registry website.