Individual
DR. RICHARD L BENNETT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
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
Primary
4308
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BS05920BE
BLUE CROSS BLUE SHIELD
KS
Enumeration date
06/15/2006
Last updated
07/08/2007
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