Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary C Dibenedetto, PA

Individual provider Medical Physician Assistant · NPI 1538113295

Mary C Dibenedetto, PA is a Medical Physician Assistant in Kettering, Ohio. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3075 Governors Place Blvd Ste 120
Kettering, OH 45409-1332
Phone: (937) 424-2580
Fax: (937) 424-3581
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 003057 (GA)

Record details

NPI number1538113295
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 19, 2006
Last updated in NPPESNovember 19, 2018

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