Mark Richard Benne in Fort Campbell - General Practice
Mark Richard Benne - NPI 1104806041
Mark Richard Benne is a General Practice in Fort Campbell, Kentucky. Mark Richard Benne practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mark Richard Benne is 1104806041. The last update date is 2022-07-21.
Mark Richard Benne's current location address is 2441 21st St, Fort Campbell, Kentucky. You can contact this provider via phone number 2707988977. The mailing address for Mark Richard Benne is 2441 21st St, Fort Campbell, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Richard Benne |
|---|---|
| Address | 2441 21st St, Fort Campbell, Kentucky |
| Phone Number | 2707988977 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1104806041 |
|---|---|
| Provider Enumeration Date | 2006-01-18 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 2441 21st St |
|---|---|
| City | Fort Campbell |
| State | Kentucky (KY) |
| Post Code | 422235582 |
| Phone Number | 2707988977 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 19.01981 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code assigned to Mark Richard Benne by the Centers for Medicare & Medicaid Services?
The Mark Richard Benne has been issued the NPI (National Provider Identifier) 1104806041, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mark Richard Benne's facilities are geographically located?
The facilities of Mark Richard Benne are physically situated at the following location: 2441 21St St, Fort Campbell, KY, 422235582.
What is Mark Richard Benne's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mark Richard Benne is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did Mark Richard Benne receive its 1104806041 assignment from the Centers for Medicare & Medicaid Services?
The Mark Richard Benne was assigned its 1104806041 on 2006-01-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Mark Richard Benne's information last updated?
The Mark Richard Benne's information was last updated on 2022-07-21.