Organization
BENNETT PEDIATRIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTIE BENNETT DMD (OWNER)
(256) 591-3443
Entity
Organization
Contact information
Practice address
960 ROSS ST, HEFLIN, AL 36264-1164
(256) 591-3443
Mailing address
491 ALMON ST, HEFLIN, AL 36264-1381
(256) 591-3443
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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