Individual
GERALD E BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1210 E PLANT ST, SUITE 200, WINTER GARDEN, FL 34787-2993
(407) 905-8827
(407) 654-4528
Mailing address
110 S WOODLAND ST, WINTER GARDEN, FL 34787-3546
(407) 905-8827
(407) 654-4528
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN7661
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070834800
—
FL
Enumeration date
08/11/2005
Last updated
04/13/2012
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