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DR. BENJAMIN GRAHAM BACON DDS
NPI 1710476924
Dentist - General Practice in Vandenberg Afb, CA

Active since May 02, 2018
338 S DAKOTA AVE BLDG 13850, VANDENBERG AFB, CA 93437(361) 815-9929 Get Directions Write a Review

NPPES record last updated: July 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2019, May 2, 2018 (2 updates tracked since 2018).

About Dr. Benjamin Graham Bacon Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BENJAMIN GRAHAM BACON DDS (NPI 1710476924) is an individual general practice provider in Vandenberg Afb, California, licensed in North Carolina (12605) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1710476924
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BENJAMIN GRAHAM BACONCredential: DDS
Location Address338 S DAKOTA AVE BLDG 13850Vandenberg Afb, CA 93437-6307
Mailing Address817 Bass Landing PlGreensboro, NC 27455-3440 · (361) 815-9299
Phone(361) 815-9929
Sole ProprietorNo
Enumeration DateMay 2, 2018
Last NPPES UpdateJuly 27, 20252 updates tracked since enumeration
NPPES CertifiedJuly 27, 2025
✔ NPI 1710476924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NC · 12605
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 10867252-9921 (UT)
338 S DAKOTA AVE BLDG 13850, Vandenberg Afb, CA 93437
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

30TH MEDGRP-VANDENBERG
Military/U.S. Coast Guard Pharmacy
338 S DAKOTA AVE BLDG 13850
VANDENBERG AFB, CA 93437
Santa Barbara County (805) 606-7440
KIELE TERESA MOHRE DO
Pediatrics
338 S DAKOTA AVE BLDG 13850
LOMPOC, CA 93437
Santa Barbara County (805) 606-2273
JORDAN LYNN SULLIVAN RN
Registered Nurse
338 S DAKOTA AVE BLDG 13850
VANDENBERG AFB, CA 93437
Santa Barbara County (805) 605-0261
DR. CHRISTOPHER VELASQUEZ DO
Emergency Medicine
338 S DAKOTA AVE BLDG 13850
VANDENBERG AFB, CA 93437
Santa Barbara County (805) 606-2273
VANDENBERG AIR FORCE 30TH MEDICAL GROUP
Dietitian, Registered
338 S DAKOTA AVE BLDG 13850
LOMPOC, CA 93437
Santa Barbara County (805) 606-3469
MRS. MARY RITA MU-TAGALOA WALKER REGISTERED DIETITIAN
Dietitian, Registered
338 S DAKOTA AVE BLDG 13850
LOMPOC, CA 93437
Santa Barbara County (214) 684-0947
JENNIFER TA CPNP
Nurse Practitioner (Pediatrics)
338 S DAKOTA AVE BLDG 13850
LOMPOC, CA 93437
Santa Barbara County (805) 606-2273
HANNAH JANE HULTINE
Physical Therapist
338 S DAKOTA AVE BLDG 13850
LOMPOC, CA 93437
Santa Barbara County (805) 606-6236

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Bacon's NPI number?

The NPI number for Benjamin Bacon is 1710476924. It was assigned to this individual provider in the NPPES registry on May 2, 2018.

Where is Benjamin Bacon located?

Benjamin Bacon practices at 338 S Dakota Ave Bldg 13850, Vandenberg Afb, CA 93437. The listed phone number is (361) 815-9929.

What is Benjamin Bacon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Benjamin Bacon accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Benjamin Bacon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Benjamin Bacon was last updated on July 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.