DR. Mark Richard Benne, DDS

NPI #1104806041 in Fort Campbell, Kentucky

Provider Information

NPI Number: 1104806041
Entity Type: Individual
Name: DR. Mark Richard Benne, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jan 18, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: 2441 21ST ST
City: Fort Campbell
State: Kentucky
ZIP Code: 42223-5582
Phone: (270) 798-8977

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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