Individual provider · NPI-1

Dr. Linden Bennetch, DMD

Dentist · Lebanon, PA

NPI number1497564892
StatusActive
Last updated in NPPESJun 22, 2025

Details

NPI
1497564892
Entity type
Individual (NPI-1)
Name
Dr. Linden Bennetch
Credential
DMD
Sex
Male
Sole proprietor
No
Enumeration date
Jan 1, 2025
Certification date
Jun 22, 2025
Last updated
Jun 22, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistDS044586PAYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

1700 S Lincoln Ave
Lebanon, PA 17042-7529

Phone 717-272-6621

Mailing address

301 Valley View Rd
Myerstown, PA 17067-3073

Phone 717-639-4908

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