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Organization
ADAM BENNETT LLC
Active
Organization
ADAM BENNETT LLC
Active
Other names
Pediatric Dentistry of Branson
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM MICHAEL BENNETT DDS (OWNER/DOCTOR)
(870) 577-7286
Entity
Organization
Contact information
Practice address
168 S PAYNE STEWART DR STE 100, BRANSON, MO 65616-2718
(417) 263-3127
Mailing address
278 DANDY WAY, BRANSON, MO 65616-8666
(870) 577-7286
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/04/2021
Last updated
11/06/2021
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