Lee Larue Bennett is a Dentist in Decatur, Illinois. Lee Larue Bennett practices all healthcare services and medical treatments related to Dentist. The NPI Number for Lee Larue Bennett is 1598983975. The last update date is 2007-07-08.
Lee Larue Bennett's current location address is 1221 E Condit St, Decatur, Illinois. You can contact this provider via phone number 2174239930 and fax number 2172335787. The mailing address for Lee Larue Bennett is 1221 E Condit St, Decatur, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Lee Larue Bennett |
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Address | 1221 E Condit St, Decatur, Illinois |
Phone Number | 2174239930 |
Fax Number | 2172335787 |
Sole Proprietor | N |
Credentials | D.D.S |
NPI Number Detail
NPI Number | 1598983975 |
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Provider Enumeration Date | 2007-04-23 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1221 E Condit St |
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City | Decatur |
State | Illinois (IL) |
Post Code | 625211405 |
Phone Number | 2174239930 |
Fax Number | 2172335787 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
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 Lee Larue Bennett by the Centers for Medicare & Medicaid Services?
The Lee Larue Bennett has been issued the NPI (National Provider Identifier) 1598983975, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Lee Larue Bennett located?
The Lee Larue Bennett is located at 1221 E Condit St, Decatur, IL 625211405.
What is Lee Larue Bennett's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lee Larue Bennett is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date was the 1598983975 assigned to Lee Larue Bennett?
The Lee Larue Bennett was issued its 1598983975 on 2007-04-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Lee Larue Bennett last refreshed?
The information related to the Lee Larue Bennett, including its address, specialty, and other relevant details, was last updated on 2007-07-08.