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Contact Information

LATHONIA BENNETT, DDS
PO BOX 1010
KINGSTREE, SC29556-1010
 Phone: 843-800-0087
 Fax: 866-379-9998
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

General Practice

1223G0001X
 

Pediatric Dentistry

1223P0221X
Indicates primary specialty

NPI Profile & details for LATHONIA BENNETT · (Female)

NPI Number 1457474124
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 04/09/2007
Last updated 04/24/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # 25317
  • GA License # 12503
  • SC License # 3809
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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