| Doctor Name: | DR. DEYNE BENTT |
| NPI Number: | 1043307655 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | D0052435 |
| Business Practice Address: | 50 Irving St Nw Washington, DC - 204220001 |
| Business Phone Number: | 2027458607 |
| Business Fax Number: | 2025184633 |
| Mailing Address: | 1400 Church St Nw, Unit 604 WASHINGTON |
| State: | DC |
| Postal Code: | 200051904 |
| Phone Number: | 3013183200 |
| Fax Number: | |
| NPI Enumeration Date: | 10/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | D0052435 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MD |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |