Provider Demographics
NPI:1194840264
Name:BENHURI, MARC NASSER (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:NASSER
Last Name:BENHURI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
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Mailing Address - Street 1:29 W 57TH ST STE 1200
Mailing Address - Street 2:BETWEEN 5TH & 6TH AVENUE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-3406
Mailing Address - Country:US
Mailing Address - Phone:212-355-1168
Mailing Address - Fax:212-750-9302
Practice Address - Street 1:29 W 57TH ST STE 1200
Practice Address - Street 2:BETWEEN 5TH & 6TH AVE.
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3406
Practice Address - Country:US
Practice Address - Phone:212-355-1168
Practice Address - Fax:212-750-9302
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0317701223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics