Michael Bennett, DMD

NPI #1073258786 in Shawnee, Oklahoma

Provider Information

NPI Number: 1073258786
Entity Type: Individual
Name: Michael Bennett, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Apr 28, 2022
Last Updated: Apr 28, 2022

Practice Location

Address: 3703 N KICKAPOO AVE
City: Shawnee
State: Oklahoma
ZIP Code: 74804-1703
Phone: (405) 275-0640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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