Individual
DR. DANIEL S BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1121 W MICHIGAN STREET, DS 307B, INDIANAPOLIS, IN 46202-5186
(317) 278-3632
(317) 274-2603
Mailing address
1121 W MICHIGAN STREET, DS 307B, INDIANAPOLIS, IN 46202-5186
(317) 278-3632
(317) 274-2603
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007572A
IN
1223G0001X
General Practice Dentistry
7572
IN
Other
Enumeration date
02/27/2007
Last updated
11/05/2013
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