Individual
ABIGAIL BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1809 HOMER M ADAMS PKWY STE A, ALTON, IL 62002-5606
(618) 433-3410
Mailing address
1809 HOMER M ADAMS PKWY STE A, ALTON, IL 62002-5606
(636) 614-8299
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.035172
IL
122300000X
Dentist
2024029603
MO
Other
Enumeration date
06/06/2024
Last updated
09/11/2025
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