Organization
ADAM BENNETT LLC
Active
Other names
Pediatric Dentistry of Branson
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM MICHAEL BENNETT DDS (OWNER/DOCTOR)
(870) 577-7286
Entity
Organization
Contact information
Practice address
168 S PAYNE STEWART DR STE 100, BRANSON, MO 65616-2718
(417) 263-3127
Mailing address
278 DANDY WAY, BRANSON, MO 65616-8666
(870) 577-7286
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/04/2021
Last updated
11/06/2021
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