Provider Demographics
NPI:1811215601
Name:HADFIELD, BENJAMIN E (DDS)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:E
Last Name:HADFIELD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1480 ORCHARD DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BOUNTIFUL
Mailing Address - State:UT
Mailing Address - Zip Code:84010-5142
Mailing Address - Country:US
Mailing Address - Phone:801-295-4551
Mailing Address - Fax:801-296-6240
Practice Address - Street 1:1480 ORCHARD DR
Practice Address - Street 2:SUITE 102
Practice Address - City:BOUNTIFUL
Practice Address - State:UT
Practice Address - Zip Code:84010-5142
Practice Address - Country:US
Practice Address - Phone:801-295-4551
Practice Address - Fax:801-296-6240
Is Sole Proprietor?:No
Enumeration Date:2010-05-04
Last Update Date:2011-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT74068411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice