Terry R Bennett Dmd INC

NPI #1013201052 in Tulsa, Oklahoma

Provider Information

NPI Number: 1013201052
Entity Type: Organization
Organization Name: Terry R Bennett Dmd INC
Primary Specialty: Dentist
Enumeration Date: Jun 7, 2011
Last Updated: Jul 26, 2011

Practice Location

Address: 1616 S DENVER AVE
City: Tulsa
State: Oklahoma
ZIP Code: 74119-4233
Phone: (918) 582-8651

Authorized Official

Name: DR. TERRY BENNETT, D.M.D.
Title: OWNER
Phone: (918) 582-8651

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X
Dentist	122300000X	Primary

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