Provider Demographics
NPI:1538182001
Name:BENOIT, GEORGE F JR (DMD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:F
Last Name:BENOIT
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-2113
Mailing Address - Country:US
Mailing Address - Phone:781-659-7022
Mailing Address - Fax:
Practice Address - Street 1:408 MAIN ST
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-2113
Practice Address - Country:US
Practice Address - Phone:781-659-7022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA148551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice