Most Relevant Information
Provider Data
| NPI Number: | 1003044603 |
| Provider Name: | NICHOLAS SEWELL BENNETT D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | PENDING |
Most Important Dates
| Enumeration Date: | 06/23/2009 |
| Last Updated: | 06/23/2009 |
Provider Practice Location
10 N GREENE ST
2-D-137
BALTIMORE
MD
212011524
Practice Location Phone/Fax
| Phone: | 4106057056 |
| Fax: |
Provider Mailing Location
10 N GREENE ST
2-D-137
BALTIMORE
MD
212011524
Provider Mailing Phone/Fax
| Phone: | 4106057056 |
| Fax: |