DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. EDWIN ROLAND BENNETT IV, DDS

Active Sole Proprietor

DR. EDWIN ROLAND BENNETT IV, DDS is a Dentist healthcare provider located in PLACENTIA, California. NPI 1013520766 is currently active in the NPPES registry. Verify at CMS.

Dentist · PLACENTIA, CA

Registration Details

NPI Number
1013520766
Provider Type
Individual
Gender
Male
NPI Issued
Aug 24, 2020 (5.9713449210994 yrs)
Last Updated
Feb 10, 2025
Licenses
D11299 (OR)
107244 (CA)
Sole Proprietor
Yes

Practice Information

Address
300 E YORBA LINDA BLVD STE E
PLACENTIA, CA, 928702910
Browse CA providers · Browse ZIP 92870
Phone
7145240207
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Providers in PLACENTIA, CA

Name Credential NPI
PERVEEN ALEEMUDDIN DDS 1932159019
DR. JEAN EILEEN CAMPBELL DDS 1992719439
DR. BARBARA NGA TU TRAN DDS 1548271737
DR. GILBERTO GUTIERREZ GARCIA DDS 1376658229
YASIR ANWAR ISTERABADI DDS 1952490872
DR. DEBBIE ROSLYN LEE D.D.S. 1003975814
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.