NPI 1295720910 · live from the CMS NPI Registry
Mary Ann Dionne Bentz
Dermatology in Waterford, CT. National Provider Identifier 1295720910, active.
NPI record
| NPI | 1295720910 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 914 Hartford Tpke Ste 103, Waterford, CT 06385 |
| Practice phone | 860-442-1346 |
| Enumerated | September 19, 2005 |
| Last updated | December 5, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 035094 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.