Individual
THOMAS WORD BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
749 CENTRAL AVE, DOVER, NH 03820
(603) 742-8888
Mailing address
749 CENTRAL AVE, DOVER, NH 03820
(603) 742-8888
(603) 742-7910
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
8272
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0103389Y0NH01
ANTHEM
NH
05
—
80000954
—
NH
01
—
C01973
CIGNA
NH
01
—
H003311
TRICARE
NH
01
—
P394952
OXFORD HEALTH
NH
Enumeration date
09/14/2006
Last updated
07/08/2007
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