| Thomas Benenti D.m.d. | |
|
62 Portland Rd Suite 41 Kennebunk ME 04043-6658 | |
| (207) 985-3444 | |
| Not Available |
| Full Name | Thomas Benenti D.m.d. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 62 Portland Rd, Kennebunk, Maine |
| Authorized Official Name and Position | Thomas Paul Benenti (OWNER) |
| Authorized Official Contact | 2079853444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Benenti D.m.d. 62 Portland Rd Suite 41 Kennebunk ME 04043-6658 Ph: (207) 985-3444 | Thomas Benenti D.m.d. 62 Portland Rd Suite 41 Kennebunk ME 04043-6658 Ph: (207) 985-3444 |
| NPI Number | 1417162041 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417162041 | NPI | - | NPPES |
| 2353 | Other | ME | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2353 (Maine) | Primary |
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