DR. MARK RICHARD BENNE DDS NPI 1104806041

NPI Information

NPI: 1104806041
Provider Name: DR. MARK RICHARD BENNE, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
2441 21ST ST
FORT CAMPBELL, KY
ZIP 42223
Phone: (270) 798-8977
Get Directions

DR. Mark Richard Benne, DDS is a general practice dentist in Fort Campbell, KY. The provider is 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. DR. Mark Richard Benne, DDS NPI is 1104806041. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2441 21ST ST
FORT CAMPBELL, KY
ZIP 42223-582
Phone: (270) 798-8977

The enumeration date for this NPI number is 1/18/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	019.019810	ILLINOIS	No
2	1223G0001X	Dentist	General Practice	16-0000997	VERMONT	No
3	1223G0001X	Dentist	General Practice	DE00007213	WASHINGTON	Yes
4	1223G0001X	Dentist	General Practice	53740	CALIFORNIA	No
5	1223G0001X	Dentist	General Practice	DEN.00007213	COLORADO	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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