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Contact Information

BEN L BENNETT, DDS
201 W LAKEWAY RD STE 517
GILLETTE, WY82718-6343
 Phone: 719-551-0556
 Fax: 719-219-1376
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for BEN L BENNETT · (Male)

NPI # 1932717790
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/17/2020
Last updated 07/17/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • NE License # 5387
  • SD License # D1042
  • WY License # 769
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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