Provider Demographics
NPI:1710398268
Name:LAMARCHE, BENJAMIN
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:
Last Name:LAMARCHE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 CALLAHAN RD
Mailing Address - Street 2:
Mailing Address - City:BUXTON
Mailing Address - State:ME
Mailing Address - Zip Code:04093-3430
Mailing Address - Country:US
Mailing Address - Phone:207-438-0709
Mailing Address - Fax:
Practice Address - Street 1:43 OSSIPEE TRL E
Practice Address - Street 2:BOX 1370
Practice Address - City:STANDISH
Practice Address - State:ME
Practice Address - Zip Code:04084-6404
Practice Address - Country:US
Practice Address - Phone:207-642-4300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-17
Last Update Date:2014-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEDEN43771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice