Individual
ADAM DAVID BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1667 COCHRANE CIR BLDG 7495, FORT CARSON, CO 80913-4603
(719) 526-5537
(580) 442-4002
Mailing address
1667 COCHRANE CIR BLDG 7495, FORT CARSON, CO 80913-4603
(719) 526-5537
(580) 442-4002
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2014027961
MO
Other
Enumeration date
08/13/2014
Last updated
07/23/2020
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