Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin Neal Bellavance

Individual provider Student Health Clinic/Center · NPI 1386406999

Benjamin Neal Bellavance is a Student Health Clinic/Center in Twentynine Palms, California. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2024
Specialties on file
2

Practice location Address checks out

23RD Dental Company 1591 Griffin Rd
Twentynine Palms, CA 92278
Phone: (760) 830-7054
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 14231492-9926 (UT)
Student Health Clinic/Center Taxonomy 261QS1000X

Record details

NPI number1386406999
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 29, 2024
Last updated in NPPESJuly 22, 2025
Certification dateJuly 14, 2025