Active NPIIndividual provider

Michael Bennett, DMD

Dentist in Portland, Maine

NPI Number1104984970
Practice location
276 Canco RD, Portland, ME 04103-4351
Fax
—
Last updated
July 8, 2007

Michael Bennett is a Dentist based in Portland, ME. Michael Bennett practices in Portland, ME and has the professional credentials of DMD. The NPI Number for Michael Bennett is 1104984970 and holds a License No. 3523 (ME). The current practice location address for Michael Bennett is 276 Canco RD, Portland, ME 04103-4351 and can be reached out via phone at 207-874-1025.

Provider Profile Details

NPI Number
1104984970
Provider Name
Michael Bennett
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
276 Canco RD, Portland, ME 04103-4351
Phone Number
207-874-1025
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
December 5, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
276 Canco RD
Portland, ME 04103-4351
State
Maine
Zip
04103-4351
Phone Number
207-874-1025
Portland, ME 04103Get directions →

Provider Business Mailing Address Details

Address
276 Canco RD
Portland, ME 04103-4351
City
Portland
State
ME
Zip
04103-4351
Phone Number
207-874-1025

License Information

License Number
3523
License State
ME
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michael Bennett, DMD?

The NPI number of Michael Bennett, DMD is 1104984970. It was assigned on December 5, 2006 and is currently active in the NPPES registry.

What is the specialty of Michael Bennett, DMD?

Michael Bennett, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in ME under license number 3523.

Where does Michael Bennett, DMD practice?

The practice location is 276 Canco RD, Portland, ME 04103-4351. The office can be reached at 207-874-1025 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104984970 directly on the NPPES registry website.

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