Lathonia Bennett is a Dentist in Brunswick, Georgia. Lathonia Bennett practices all healthcare services and medical treatments related to Dentist. The NPI Number for Lathonia Bennett is 1457474124. The last update date is 2007-07-08.
Lathonia Bennett's current location address is 165 Juniper Circle, Brunswick, Georgia. You can contact this provider via phone number 9129963303. The mailing address for Lathonia Bennett is 165 Juniper Circle, Brunswick, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lathonia Bennett |
|---|---|
| Address | 165 Juniper Circle, Brunswick, Georgia |
| Phone Number | 9129963303 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1457474124 |
|---|---|
| Provider Enumeration Date | 2007-04-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 165 Juniper Circle |
|---|---|
| City | Brunswick |
| State | Georgia (GA) |
| Post Code | 31520 |
| Phone Number | 9129963303 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 12503 |
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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 |
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What is the unique 10-digit identification code assigned to Lathonia Bennett by the Centers for Medicare & Medicaid Services?
The Lathonia Bennett has been issued the NPI (National Provider Identifier) 1457474124, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Lathonia Bennett is geographically located?
The Lathonia Bennett is physically situated at the following location: 165 Juniper Circle, Brunswick, GA, 31520.
What is the Lathonia Bennett's specialty and taxonomy code?
The Lathonia Bennett's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When did the Lathonia Bennett receive its 1457474124?
The Lathonia Bennett was issued its 1457474124 on 2007-04-09, which is the date when the organization was assigned this unique identifier.
As of what date were the Lathonia Bennett's details last updated?
The information pertaining to the Lathonia Bennett, including its address, specialty, and other details, was most recently updated on 2007-07-08.