Individual
DR. ADAM BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
168 S PAYNE STEWART DR STE 100, BRANSON, MO 65616-2718
(870) 577-7286
Mailing address
278 DANDY WAY, BRANSON, MO 65616-8666
(870) 577-7286
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2017017256
MO
1223P0221X
Pediatric Dentistry
7008
LA
Other
Enumeration date
03/22/2017
Last updated
11/05/2021
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