Organization
TERRY R BENNETT DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY BENNETT D.M.D. (OWNER)
(918) 582-8651
Entity
Organization
Contact information
Practice address
1616 S DENVER AVE, TULSA, OK 74119-4233
(918) 582-8651
(918) 582-3903
Mailing address
1616 S DENVER AVE, TULSA, OK 74119-4233
(918) 582-8651
(918) 582-3903
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3828
OK
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
06/07/2011
Last updated
07/26/2011
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