Benson, William Thaddeus
Benson, William Thaddeus is an individual health care provider with primary practice located at 716 Stevens Ave , Portland ME 04103. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Benson, William Thaddeus can be contacted via phone (978) 372-9122.Contact Information
Primary practice address
716 Stevens Ave
Portland ME 04103
Phone: (978) 372-9122
Fax: (978) 372-6131
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 15695 | Massachusetts |
Dental Providers / Dentist | 122300000X | DEN4602 | Maine |
Profile Details
NPI number | 1184614778 |
---|---|
LBN Legal business name | Benson, William Thaddeus |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 25th, 2005 |
Last updated | Sep 4th, 2018 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1184614778 | NPPES |
Other | X05793 | BLUE CROSS BLUE SHIELD OF |
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