Organization
BENNETT FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW CALHOUN BENNETT DMD (PRESIDENT)
(334) 272-3776
Entity
Organization
Contact information
Practice address
4270 CARMICHAEL ROAD, MONTGOMERY, AL 36106
(334) 272-3776
Mailing address
4270 CARMICHAEL ROAD, MONTGOMERY, AL 36106
(334) 272-3776
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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