Benne, Mark Richard

Benne, Mark Richard is an individual health care provider with primary practice located at 2441 21St St , Fort Campbell KY 42223-5582. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Benne, Mark Richard can be contacted via phone (270) 798-8977.

Contact Information

Primary practice address
2441 21St St Fort Campbell KY 42223-5582
Phone: (270) 798-8977
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019.019810 Illinois
Dental Providers / General Practice 1223G0001X 16-0000997 Vermont
Dental Providers / General Practice 1223G0001X DE00007213 Washington
Dental Providers / General Practice 1223G0001X DEN.00007213 Colorado
Dental Providers / General Practice 1223G0001X 53740 California

Profile Details

NPI number 1104806041
LBN Legal business name Benne, Mark Richard
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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