Christina Mae Bennett
Dentist Dental Public Health
1721 Saemann Ave
Sheboygan
, Wisconsin 53081
Christina Mae Bennett
Dentist Dental Public Health
1721 Saemann Ave
Sheboygan
, Wisconsin 53081
(415) 847-3995
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About
Features
Specialties
- Dentist
- Dental Public Health
Languages spoken
- English
Location
First Address
- Christina Mae Bennett
- 1721 Saemann Ave
- Sheboygan, WI
- Zip : 53081-2342
- Phone : (415) 847-3995
Second Address
- Christina Mae Bennett
- 1721 Saemann Ave
- Sheboygan, WI
- Zip : 53081
- Phone : (920) 783-6633
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | 1001867-15 | WI |
| Y | 1223D0001X | Dental Public Health | 1001867 | WI |
National Provider Identifier
| NPI | 1730674664 |
|---|---|
| Provider Name | Christina Mae Bennett |
| First Address | Sheboygan, WI 53081-2342 |
| Second Address | Sheboygan, WI 53081 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2018 |
| Last Update Date | 11/07/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.