Individual
DR. ERNEST D BENNETT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1189 S. PERRY ST., SUITE 200, CASTLE ROCK, CO 80104
(303) 688-3008
(303) 688-1953
Mailing address
1189 S. PERRY ST., SUITE 200, CASTLE ROCK, CO 80104
(303) 688-3008
(303) 688-1953
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3792
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79101534
—
CO
Enumeration date
02/24/2006
Last updated
07/09/2007
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