Individual
DR. NICHOLAS ALAN BENNETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
6000 W HIGHWAY 98, PENSACOLA, FL 32512-0001
(850) 505-6454
Mailing address
6000 W HIGHWAY 98, PENSACOLA, FL 32512-0001
(850) 505-6454
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
34783
TX
Other
Enumeration date
06/22/2011
Last updated
11/28/2023
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