Active NPI
Bennardi, Barberio, Bennardi, PC
- General Practice Dentistry
- Muncy, PA
National Provider Identifier
1962403402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS027666L
- Legal business name
- BENNARDI, BARBERIO, BENNARDI, PC
- Practice address
- 42 S Main St
Muncy, PA 17756-1307 - Phone
- (570) 546-3419
- Fax
- (570) 546-7172
- NPI assigned
- Aug 9, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mary C Bennardi, DMD
- Title
- Owner/Secretary
- Phone
- (570) 546-3419
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS027666L | PA | Primary |
| General Practice Dentistry | 1223G0001X | DS027966L | PA |
Addresses
Primary practice location
42 S Main St
Muncy, PA 17756-1307
Mailing address
42 S Main St
Muncy, PA 17756-1307
Phone (570) 546-3419
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1962403402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 S MAIN ST",
"city": "MUNCY",
"state": "PA",
"postal_code": "177561307",
"telephone_number": "570-546-3419",
"fax_number": "570-546-7172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 S MAIN ST",
"city": "MUNCY",
"state": "PA",
"postal_code": "177561307",
"telephone_number": "570-546-3419",
"fax_number": "570-546-7172"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENNARDI, BARBERIO, BENNARDI, PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BENNARDI",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER/SECRETARY",
"authorized_official_telephone_number": "570-546-3419",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS027666L",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS027966L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muncy, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.