Individual
WILLIAM T BENZING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
440 WESTERN AVE, SOUTH PORTLAND, ME 04106
(207) 774-2611
(207) 774-2613
Mailing address
440 WESTERN AVE, SOUTH PORTLAND, ME 04106
(207) 772-2611
(207) 774-2613
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3617
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291540099
—
ME
Enumeration date
09/15/2006
Last updated
06/12/2009
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