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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARK RICHARD BENNE, DDS

Active

DR. MARK RICHARD BENNE, DDS is a General Dentistry healthcare provider located in FORT CAMPBELL, Kentucky. NPI 1104806041 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · FORT CAMPBELL, KY

Registration Details

NPI Number
1104806041
Provider Type
Individual
Gender
Male
NPI Issued
Jan 18, 2006 (20.530020733221 yrs)
Last Updated
Jul 21, 2022
Licenses
019.019810 (IL)
16-0000997 (VT)
DE00007213 (WA)
DEN.00007213 (CO)
53740 (CA)

Practice Information

Address
2441 21ST ST
FORT CAMPBELL, KY, 422235582
Browse KY providers · Browse ZIP 42223
Phone
2707988977
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry
Additional Specialty
General Dentistry
Additional Specialty
General Dentistry
Additional Specialty
General Dentistry

Other General Dentistry Providers in FORT CAMPBELL, KY

Name Credential NPI
DR. MICHAEL STEVEN FULKERSON D.M.D. 1255315313
DR. JULIAN MACON DISMUKES III DMD 1740260884
DR. JAMES JOSEPH GLAD DDS 1700866241
DR. GEORGE WESLEY MCMILLIAN DDS 1841264280
DR. ALAN WAYNE EDMUNDSON DDS 1710954755
DR. CHRISTOPHER CROWDUS D.M.D 1649236712
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.