IndividualActive
Mark Bennett, D.D.S.
NPI 1558401281 · Oral and Maxillofacial Pathology Dentistry · Greenbrae, CA
Provider details
- NPI number
- 1558401281
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 29016 (CA)
Specialties & taxonomies
Dental Providers
Practice location
1331 S Eliseo Dr
Greenbrae, CA 94904-2010
Phone: (415) 461-1150
Fax: (415) 461-1573
Approximate (ZIP-level) locationGet directions
Mailing address
1331 S Eliseo Dr
Greenbrae, CA 94904-2010
Registry dates
- Enumerated
- 2007-02-08
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.