Individual
DR. MICHAEL WAYNE BENNETT II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2268 N SHORE DR, RHINELANDER, WI 54501-8888
(725) 410-1400
Mailing address
172 W HILL RD APT 6, RHINELANDER, WI 54501-2927
(229) 449-0799
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001394-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2022
Last updated
03/25/2024
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