# BENNARDI, BARBERIO, BENNARDI, PC

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

## Provider details

- **NPI number:** 1962403402
- **Authorized official:** DR. MARY C BENNARDI DMD (OWNER/SECRETARY)
- **Authorized official phone:** (570) 546-3419

## Contact information

- **Practice address:** 42 S MAIN ST, MUNCY, PA 17756-1307
- **Practice address phone:** (570) 546-3419
- **Practice address fax:** (570) 546-7172
- **Mailing address:** 42 S MAIN ST, MUNCY, PA 17756-1307
- **Mailing address phone:** (570) 546-3419
- **Mailing address fax:** (570) 546-7172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS027666L | PA | Yes |
| 1223G0001X | General Practice Dentistry | DS027966L | PA | — |

## Other

- **Enumeration date:** 08/09/2005
- **Last updated:** 08/22/2020