Individual
DR. TERRY R BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1616 S DENVER AVE, TULSA, OK 74119-4233
(918) 582-8651
(918) 583-3903
Mailing address
1616 S DENVER AVE, TULSA, OK 74119-4233
(918) 582-8651
(918) 583-3903
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3828
OK
Other
Enumeration date
09/28/2006
Last updated
02/20/2018
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