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Organization
RICHARD L BENNETT DDS PA
Active
Organization
RICHARD L BENNETT DDS PA
Active
Other names
Drs Bennett & Bennett
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD L BENNETT DDS (DENTIST)
(620) 343-9220
Entity
Organization
Contact information
Practice address
909 COMMERCIAL ST, EMPORIA, KS 66801
(620) 343-9220
(620) 343-9221
Mailing address
909 COMMERCIAL ST, EMPORIA, KS 66801
(620) 343-9220
(620) 343-9221
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4308
KS
122300000X
Dentist
Primary
6600
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05920
BLUE CROSS BLUE SHIELD
KS
01
—
19201
BLUE CROSS BLUE SHIELD
KS
Enumeration date
06/10/2006
Last updated
08/22/2020
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