# B. LAWRENCE BENNETT DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457565897
- **Authorized official:** DR. BEN LAWRENCE BENNETT DDS (OWNER)
- **Authorized official phone:** (719) 551-0556

## Contact information

- **Practice address:** 201 W LAKEWAY RD STE 517, GILLETTE, WY 82718
- **Practice address phone:** (719) 551-0556
- **Practice address fax:** (719) 219-1376
- **Mailing address:** PO BOX 592, ALLIANCE, NE 69301-0592
- **Mailing address phone:** (719) 551-0556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 105761 | CO | Yes |

## Other

- **Enumeration date:** 05/09/2007
- **Last updated:** 08/17/2018