| Terry R Bennett Dmd Inc | |
|
1616 S Denver Ave Tulsa OK 74119-4233 | |
| (918) 582-8651 | |
| (918) 582-3903 |
| Full Name | Terry R Bennett Dmd Inc |
|---|---|
| Speciality | Dentist |
| Location | 1616 S Denver Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Terry Bennett (OWNER) |
| Authorized Official Contact | 9185828651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terry R Bennett Dmd Inc 1616 S Denver Ave Tulsa OK 74119-4233 Ph: (918) 582-8651 | Terry R Bennett Dmd Inc 1616 S Denver Ave Tulsa OK 74119-4233 Ph: (918) 582-8651 |
| NPI Number | 1013201052 |
|---|---|
| Provider Enumeration Date | 06/07/2011 |
| Last Update Date | 07/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013201052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3828 (Oklahoma) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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