Harry Herbert Benavent, D.D.S.
Individual provider Active NPI Dentist · Clarksville, MD
NPI 1902169899 · NPPES record last updated Jun 17, 2012
Key facts
- NPI
- 1902169899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 15062 (MD)
- Practice address
- 5820 Clarksville Square Dr
Clarksville, MD 21029-1856 - Phone
- (443) 535-9600
- Fax
- (443) 535-9601
- NPI assigned
- Jun 17, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15062 | MD | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benavent Dental Cockeysville | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 15062 | MD | Yes |
Addresses
Primary practice location
5820 Clarksville Square Dr
Clarksville, MD 21029-1856
Mailing address
7 N Calvert St Apt 1101
Baltimore, MD 21202-2255
Phone (410) 746-3715
Other providers in Clarksville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.