Individual
DR. BARRY EDWARD BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2904 PROFESSIONAL PKWY, AUGUSTA, GA 30907-6502
(706) 860-0650
(706) 860-1503
Mailing address
2904 PROFESSIONAL PKWY, AUGUSTA, GA 30907-6502
(706) 860-0650
(706) 860-1503
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
009329
GA
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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