Individual
DR. DONALD PHILLIP BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1010 COMMON STREET, SUITE 810, NEW ORLEANS, LA 70112-9050
(504) 523-4882
(504) 523-2113
Mailing address
1010 COMMON STREET, SUITE 810, NEW ORLEANS, LA 70112-9050
(504) 523-4882
(504) 523-2113
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4046
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A2013
BLUE CROSS BLUE SHIELD
LA
Enumeration date
02/20/2007
Last updated
07/08/2007
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