Individual provider · Type 1 NPI

Michael Bennett, DMD

General Practice Dentistry · Shawnee, OK

NPI number 1073258786 Active

Practice location

3703 N Kickapoo Ave
Shawnee, OK 74804-1703

Fax (405) 225-3008

Mailing address

400 Riverwalk Ter Ste 250
Jenks, OK 74037-5619

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X7543 (OK)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1073258786

Michael Bennett, DMD's National Provider Identifier is 1073258786, issued on Apr 28, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Shawnee, OK. The record was last updated on Apr 28, 2022.