NPI 1104794296 · live from the CMS NPI Registry
Dillon Michael Benedicto, RD/RDN
Dietitian, Registered in Walpole, MA. National Provider Identifier 1104794296, active.
NPI record
| NPI | 1104794296 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 399 Lincoln Rd # 1218, Walpole, MA 02081 |
| Practice phone | 508-668-7703 |
| Mailing address | 4 Europe St Apt 2, Providence, RI 02903 |
| Enumerated | October 29, 2025 |
| Last updated | October 29, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Educator | 174H00000X | — |
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.