Dr. Brandon Keith Bennett, D.D.S.
Dentist, General Practice in Eldon, MO. Individual provider (NPI-1).
NPI number1609017490
StatusActive
Last updated in NPPESSep 5, 2013
Details
- NPI
- 1609017490
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brandon Keith Bennett
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 9, 2009
- Last updated
- Sep 5, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 2009013178 | MO | Yes |
Practice location
202 N Maple StEldon, MO 65026-1776
Phone 573-392-5213 · Fax 573-392-5213
Mailing address
23 Mockingbird RdLake Ozark, MO 65049-7108
Phone 314-704-0881 · Fax 573-392-5213
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Other General Practice Dentistry providers in Eldon, MO
- Gary Robert Dawson, D.D.S.NPI 1477674067
- Bruce Edward King, DDSNPI 1760597264
- Josiah Moutray, DDSNPI 1497432181
- Caitlyn VernonNPI 1205355039
All 5 General Practice Dentistry providers in Eldon · All 126 providers in Eldon
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