Individual
WILLIAM P BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
324 CENTER AVE, WESTON, WV 26452-2031
(304) 269-3723
(304) 269-3723
Mailing address
324 CENTER AVE, WESTON, WV 26452-2031
(304) 269-3723
(304) 269-3723
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2403
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0134732000
—
WV
Enumeration date
08/12/2006
Last updated
07/08/2007
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