Active NPIIndividual provider

Mary Ann D Bentz

Dermatology in Waterford, Connecticut

NPI Number1295720910
Practice location
914 Hartford Tpke Ste 103, Waterford, CT 06385-4276
Fax
860-444-6208
Last updated
December 5, 2022

Mary Ann Dionne Bentz is a Dermatology based in Waterford, CT. Mary Ann Dionne Bentz practices in Waterford, CT. The NPI Number for Mary Ann Dionne Bentz is 1295720910 and holds a License No. 035094 (CT). The current practice location address for Mary Ann Dionne Bentz is 914 Hartford Tpke Ste 103, Waterford, CT 06385-4276 and can be reached out via phone at 860-442-1346 and via fax at 860-444-6208.

Provider Profile Details

NPI Number
1295720910
Provider Name
Mary Ann Dionne Bentz
Provider Entity Type
Individual
Gender
Female
Address
914 Hartford Tpke Ste 103, Waterford, CT 06385-4276
Phone Number
860-442-1346
Fax Number
860-444-6208
Primary Taxonomy
Dermatology · 207N00000X
Sole Proprietor
No
Provider Enumeration Date
September 19, 2005
Last Update Date
December 5, 2022
Certification Date
December 5, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
914 Hartford Tpke Ste 103
Waterford, CT 06385-4276
Zip
06385-4276
Phone Number
860-442-1346
Fax Number
860-444-6208
Waterford, CT 06385Get directions →

Provider Business Mailing Address Details

Address
914 Hartford Tpke Ste 103
Waterford, CT 06385-4276
City
Waterford
State
CT
Zip
06385-4276
Phone Number
860-442-1346
Fax Number
860-444-6208

License Information

License Number
035094
License State
CT
Taxonomy
Dermatology · 207N00000X · 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 Mary Ann D Bentz?

The NPI number of Mary Ann D Bentz is 1295720910. It was assigned on September 19, 2005 and is currently active in the NPPES registry.

What is the specialty of Mary Ann D Bentz?

Mary Ann D Bentz is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in CT under license number 035094.

Where does Mary Ann D Bentz practice?

The practice location is 914 Hartford Tpke Ste 103, Waterford, CT 06385-4276. The office can be reached at 860-442-1346 (phone) or 860-444-6208 (fax).

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 1295720910 directly on the NPPES registry website.

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