Bender, Eric Michael
Bender, Eric Michael is an individual health care provider with primary practice located at 17746 Kenwood Trl , Lakeville MN 55044-9454. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bender, Eric Michael can be contacted via phone (952) 388-1778.Contact Information
Primary practice address
17746 Kenwood Trl
Lakeville MN 55044-9454
Phone: (952) 388-1778
Fax: (952) 388-1763
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN26108 | Florida |
| Dental Providers / General Practice | 1223G0001X | D14847 | Minnesota |
Profile Details
| NPI number | 1194394288 |
|---|---|
| LBN Legal business name | Bender, Eric Michael |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2021 |
| Last updated | Sep 13th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194394288 | NPPES |
| Florida | Other | DN26108 | FLORIDA DENTAL LICENSE |
| Florida | Other | D14847 | FLORIDA DENTAL LICENSE |
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