Healthcare Provider Details

I. General information

NPI: 1730015363
Provider Name (Legal Business Name): MAPLE32 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 MAPLEWOOD DR STE 9
JUPITER FL
33458-5848
US

IV. Provider business mailing address

401 MAPLEWOOD DR STE 9
JUPITER FL
33458-5848
US

V. Phone/Fax

Practice location:
  • Phone: 561-747-8808
  • Fax:
Mailing address:
  • Phone: 561-747-8808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. MAYA ADELIA BENES
Title or Position: DENTIST/OWNER
Credential: DMD
Phone: 312-437-0073