# RICHARD L BENNETT DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Drs Bennett & Bennett
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962443663
- **Authorized official:** DR. RICHARD L BENNETT DDS (DENTIST)
- **Authorized official phone:** (620) 343-9220

## Contact information

- **Practice address:** 909 COMMERCIAL ST, EMPORIA, KS 66801
- **Practice address phone:** (620) 343-9220
- **Practice address fax:** (620) 343-9221
- **Mailing address:** 909 COMMERCIAL ST, EMPORIA, KS 66801
- **Mailing address phone:** (620) 343-9220
- **Mailing address fax:** (620) 343-9221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4308 | KS | — |
| 122300000X | Dentist | 6600 | KS | Yes |

## Other

- **Enumeration date:** 06/10/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 05920 | BLUE CROSS BLUE SHIELD | KS |
| 01 | — | 19201 | BLUE CROSS BLUE SHIELD | KS |