Individual
THOMAS PAUL BENENTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
62 PORTLAND RD, SUITE 41, KENNEBUNK, ME 04043-6658
(207) 985-3444
Mailing address
62 PORTLAND RD, SUITE 41, KENNEBUNK, ME 04043-6658
(207) 985-3444
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2353
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2353
LICENSE NUMBER
ME
Enumeration date
05/14/2007
Last updated
07/08/2007
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