National Provider Identifier Database

MAC L BENNETT III, DDS – NPI #1407968803
General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


Contact Information

MAC L BENNETT III, DDS
714 B SOUTH MADISON
MADISONVILLE, TX77864
Phone: 936-348-5158
Fax: 936-348-5622
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for MAC L BENNETT III

NPI Number 1407968803
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/31/2006
Last updated 06/19/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • TX License #: 8253
  • TX Medicaid: 008028501
  • TX Other: 86D579 BLUE CROSS BLUE SHIELD
  • TX Other: G6025601 TEXAS CHIP
Hospital affiliation n/a

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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