Individual
TODD M BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MDS
Contact information
Practice address
3210 OLD SHELL RD, MOBILE, AL 36607-2505
(251) 471-8008
(251) 471-0018
Mailing address
3210 OLD SHELL RD, MOBILE, AL 36607-2505
(251) 471-8008
(251) 471-0018
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5287
AL
Other
Enumeration date
11/07/2006
Last updated
07/19/2007
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