| B. Lawrence Bennett DDS PC | |
|
201 W Lakeway Rd Ste 517 Gillette WY 82718 | |
| (719) 551-0556 | |
| (719) 219-1376 |
| Full Name | B. Lawrence Bennett DDS PC |
|---|---|
| Speciality | Dentist |
| Location | 201 W Lakeway Rd Ste 517, Gillette, Wyoming |
| Authorized Official Name and Position | Ben Lawrence Bennett (OWNER) |
| Authorized Official Contact | 7195510556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| B. Lawrence Bennett DDS PC Po Box 592 Alliance NE 69301-0592 Ph: (719) 551-0556 | B. Lawrence Bennett DDS PC 201 W Lakeway Rd Ste 517 Gillette WY 82718 Ph: (719) 551-0556 |
| NPI Number | 1457565897 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 08/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457565897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 105761 (Colorado) | Primary |
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