Individual
DR. MATTIE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
960 ROSS ST, HEFLIN, AL 36264-1164
(256) 591-3443
Mailing address
6569 LYNN AVE, LEEDS, AL 35094-2349
(256) 591-3443
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6305
AL
Other
Enumeration date
06/08/2016
Last updated
12/01/2025
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