Gerald E Bennett in Winter Garden - Dentist

Gerald E Bennett - NPI 1114929072

Gerald E Bennett is a Dentist in Winter Garden, Florida. Gerald E Bennett practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gerald E Bennett is 1114929072. The last update date is 2012-04-13.

Gerald E Bennett's current location address is 110 S Woodland St, Winter Garden, Florida. You can contact this provider via phone number 4079058827 and fax number 4076544528. The mailing address for Gerald E Bennett is 110 S Woodland St, Winter Garden, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Gerald E Bennett
Address 110 S Woodland St, Winter Garden, Florida
Phone Number 4079058827
Fax Number 4076544528
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1114929072
Provider Enumeration Date 2005-08-11
Last Updated Date 2012-04-13

Provider Mailing Address Detail

Address 110 S Woodland St
City Winter Garden
State Florida (FL)
Post Code 347873546
Phone Number 4079058827
Fax Number 4076544528

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No DN7661
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
70834800 FL --

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FAQs about Gerald E Bennett

What is the Gerald E Bennett's unique identification number?

The Gerald E Bennett has been assigned the NPI (National Provider Identifier) Number 1114929072 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Gerald E Bennett's facilities are geographically located?

The facilities of Gerald E Bennett are physically situated at the following location: 110 S Woodland St, Winter Garden, FL, 347873546.

What is the area of specialization for Gerald E Bennett, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Gerald E Bennett is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.

On what date did the Gerald E Bennett receive its 1114929072 assignment from the Centers for Medicare & Medicaid Services?

The Gerald E Bennett was assigned its 1114929072 by the Centers for Medicare & Medicaid Services on 2005-08-11.

As of what date were the details pertaining to Gerald E Bennett last refreshed?

The information related to the Gerald E Bennett, including its address, specialty, and other relevant details, was last updated on 2012-04-13.

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