Bennett Pediatric Dentistry, LLC
Clinic/Center, Dental in Heflin, AL. Organization (NPI-2).
NPI number1609753136
StatusActive
Last updated in NPPESAug 18, 2025
Details
- NPI
- 1609753136
- Entity type
- Organization (NPI-2)
- Legal business name
- Bennett Pediatric Dentistry, LLC
- Organization subpart
- No
- Enumeration date
- Aug 18, 2025
- Certification date
- Aug 18, 2025
- Last updated
- Aug 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
960 Ross StHeflin, AL 36264-1164
Phone 256-591-3443
Mailing address
491 Almon StHeflin, AL 36264-1381
Phone 256-591-3443
Authorized official
Mattie Bennett
Owner
2565913443
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