Individual provider · NPI-1

Stephen Robert Bennett, DMD

Dentist, General Practice · Franklin, TN

NPI number1205511581
StatusActive
Last updated in NPPESJun 15, 2023

Details

NPI
1205511581
Entity type
Individual (NPI-1)
Name
Stephen Robert Bennett
Credential
DMD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 15, 2023
Certification date
Jun 7, 2023
Last updated
Jun 15, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice12246TNYes

Practice location

3991 Carothers Pkwy
Franklin, TN 37067-5933

Phone 615-628-7728

Mailing address

110 Nickle Ln E
Spring Hill, TN 37174

Phone 270-564-1602

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