William Thaddeus Benson in Portland - Dentist
William Thaddeus Benson - NPI 1184614778
William Thaddeus Benson is a Dentist in Portland, Maine. William Thaddeus Benson practices all healthcare services and medical treatments related to Dentist. The NPI Number for William Thaddeus Benson is 1184614778. The last update date is 2018-09-04.
William Thaddeus Benson's current location address is 716 Stevens Ave, Portland, Maine. You can contact this provider via phone number 9783729122 and fax number 9783726131. The mailing address for William Thaddeus Benson is 716 Stevens Ave, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Thaddeus Benson |
|---|---|
| Address | 716 Stevens Ave, Portland, Maine |
| Phone Number | 9783729122 |
| Fax Number | 9783726131 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1184614778 |
|---|---|
| Provider Enumeration Date | 2005-10-25 |
| Last Updated Date | 2018-09-04 |
Provider Mailing Address Detail
| Address | 716 Stevens Ave |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 4103 |
| Phone Number | 9783729122 |
| Fax Number | 9783726131 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 15695 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| X05793 | BLUE CROSS BLUE SHIELD OF |
Post Comment/ Review Below
What is the William Thaddeus Benson's 1184614778?
The William Thaddeus Benson's NPI (National Provider Identifier) Number is 1184614778. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of William Thaddeus Benson?
The William Thaddeus Benson is situated at 716 Stevens Ave, in the city of Portland, state of ME, with the zip code 4103.
What is the William Thaddeus Benson's area of specialization and corresponding taxonomy classification?
The William Thaddeus Benson's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1184614778 to William Thaddeus Benson?
The Centers for Medicare & Medicaid Services assigned the 1184614778 to William Thaddeus Benson on 2005-10-25.
As of what date was the information pertaining to William Thaddeus Benson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to William Thaddeus Benson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-09-04.