# ROBERT A BENNY DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528197332
- **Authorized official:** DR. ROBERT A BENNY D.D.S. (PRESIDENT)
- **Authorized official phone:** (781) 235-6153

## Contact information

- **Practice address:** 40 GROVE ST, SUITE 425, WELLESLEY, MA 02482-7702
- **Practice address phone:** (781) 235-6153
- **Practice address fax:** (781) 239-1694
- **Mailing address:** 40 GROVE ST, SUITE 425, WELLESLEY, MA 02482-7702
- **Mailing address phone:** (781) 235-6153
- **Mailing address fax:** (781) 239-1694

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 10624 | MA | Yes |

## Other

- **Enumeration date:** 03/05/2007
- **Last updated:** 08/22/2020