DR. Christian Michael Bennett, DMD

NPI #1982220992 in Vine Grove, Kentucky

Provider Information

NPI Number: 1982220992
Entity Type: Individual
Name: DR. Christian Michael Bennett, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jun 25, 2020
Last Updated: Sep 1, 2020

Practice Location

Address: 201 W MAIN ST
City: Vine Grove
State: Kentucky
ZIP Code: 40175-1304
Phone: (270) 877-2011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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Organizations

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