Individual provider · Type 1 NPI

Jeffrey David Bennett, DMD

Oral and Maxillofacial Surgery (Dentist) · Indianapolis, IN

NPI number 1053416602 Active

Practice location

1050 Wishard Blvd, Room 4201
Indianapolis, IN 46202-2872

Call (317) 278-3699 Map

Fax (317) 278-2243

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X12010608A (IN)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1053416602

Jeffrey David Bennett, DMD's National Provider Identifier is 1053416602, issued on Sep 14, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 8, 2007.