Individual
DR. JILL A BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4606 E 67TH ST, SUITE 310, TULSA, OK 74136-4943
(918) 493-1865
(918) 492-5831
Mailing address
4606 E 67TH ST, SUITE 310, TULSA, OK 74136-4943
(918) 493-1865
(918) 492-5831
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5159
OK
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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