Individual
DR. DAVID SCOTT BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6080 N OAK TRFY, GLADSTONE, MO 64118-5165
(816) 453-5814
(816) 453-2859
Mailing address
2441 NW PRAIRIE VIEW RD STE A, PLATTE CITY, MO 64079-7608
(816) 858-2522
(816) 858-2946
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02633
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312478241
—
MO
Enumeration date
11/22/2005
Last updated
07/26/2011
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