Individual
DR. MARVIN R BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2619 COLONIAL DR STE B, HELENA, MT 59601-4948
(406) 442-7831
(406) 442-7893
Mailing address
2619 COLONIAL DR STE B, HELENA, MT 59601-4948
(406) 442-7831
(406) 442-7893
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1506
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0113256
—
MT
01
—
5512806
CHIPS
MT
Enumeration date
07/19/2006
Last updated
07/08/2007
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