Duane Everett Bennett II, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DE60402132 Issued in WA

Practice address

10801 Lockwood Dr Ste 240
Silver Spring, MD 20901-1563

Phone

(301) 681-4812

NPI assigned

Jul 24, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Duane Bennett DDS MSD LLC

  • Periodontics
  • Silver Spring, MD
  • NPI 1578216743
  NPD Authorized official
• Prestige Periodontics Bowie LLC

  • Periodontics
  • Bowie, MD
  • NPI 1518610781
  NPD Authorized official
• Prestige Periodontics Rockville LLC

  • Periodontics
  • Rockville, MD
  • NPI 1184377350
  NPD Authorized official
• Craig M. Gayton DDS P.C.

  • Periodontics
  • Silver Spring, MD
  • NPI 1548713167
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1003258641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 LOCKWOOD DR STE 240",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011563",
            "telephone_number": "301-681-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 LOCKWOOD DR STE 240",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011563",
            "telephone_number": "301-681-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "DUANE",
        "middle_name": "EVERETT",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-24",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011502A",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE60402132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cierra Benjamin
• Mary Elisabeth Benjamin, MD
• Benmax Health Services, LLC
• Brittany Iesha Bennett
• Colota Bennett
• Kami Mae Bennett, OTR/L
• Melanie Bennett
• Oliver Moses Bennett, MD
• Shaiann Bennett
• Sheila Jo Bennett, CNM

• Periodontics in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Periodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.