| John L. Benecchi, Dmd | |
|
140 School St Revere MA 02151-3013 | |
| (781) 289-0839 | |
| (781) 286-1949 |
| Full Name | John L. Benecchi, Dmd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 140 School St, Revere, Massachusetts |
| Authorized Official Name and Position | John L Benecchi (OWNER) |
| Authorized Official Contact | 7812890839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John L. Benecchi, Dmd 140 School St Revere MA 02151-3013 Ph: (781) 289-0839 | John L. Benecchi, Dmd 140 School St Revere MA 02151-3013 Ph: (781) 289-0839 |
| NPI Number | 1780829705 |
|---|---|
| Provider Enumeration Date | 12/04/2008 |
| Last Update Date | 12/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780829705 | NPI | - | NPPES |
| 0250023 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13275 (Massachusetts) | Primary |
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