Individual
DR. JOSEPH RONALD BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1211 W WHEELER PKWY, AUGUSTA, GA 30909-1899
(706) 210-7061
(706) 210-7065
Mailing address
1211 W WHEELER PKWY, AUGUSTA, GA 30909-1899
(706) 210-7061
(706) 210-7065
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10388
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
560008
UNITED CONCORDIA
GA
05
—
9181916
—
GA
Enumeration date
03/15/2007
Last updated
07/09/2007
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