Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK ALAN BENNETT, D.D.S.
Active Sole ProprietorDR. MARK ALAN BENNETT, D.D.S. is a Orthodontics & Dentofacial Orthopedics healthcare provider located in GREENBRAE, California. NPI 1558401281 is currently active in the NPPES registry. Verify at CMS.
Orthodontics & Dentofacial Orthopedics · GREENBRAE, CA
Registration Details
- NPI Number
- 1558401281
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 8, 2007 (19.546429681696 yrs)
- Last Updated
- Jul 8, 2007
- License
-
29016 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1331 S ELISEO DRGREENBRAE, CA, 949042010Browse CA providers · Browse ZIP 94904
- Phone
- 4154611150
- Fax
- 4154611573
- Primary Specialty
-
Orthodontics & Dentofacial Orthopedics
1223P0106X
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.