Individual
DR. JOHN CALVIN BENNETT SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
100 RICE MINE RD N STE D, TUSCALOOSA, AL 35406-2375
(205) 750-8380
Mailing address
100 RICE MINE RD N STE D, TUSCALOOSA, AL 35406-2375
(205) 750-8380
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4999
AL
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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