Organization
ERNEST D. BENNETT DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNEST DALE BENNETT DDS (PRESIDENT)
(303) 688-3008
Entity
Organization
Contact information
Practice address
1189 S PERRY ST, SUITE 200, CASTLE ROCK, CO 80104-1959
(303) 688-3008
(303) 688-1953
Mailing address
1189 S PERRY ST, SUITE 200, CASTLE ROCK, CO 80104-1959
(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
—
02037927
—
CO
Enumeration date
01/03/2008
Last updated
01/03/2008
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