Bennett, Jane Laura

Bennett, Jane Laura is an sole proprietor health care provider with primary practice located at 545 Fortune Dr Suite 400, Papillion NE 68046-3421. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Bennett, Jane Laura can be contacted via phone (402) 502-1256.

Contact Information

Primary practice address
545 Fortune Dr Suite 400 Papillion NE 68046-3421
Phone: (402) 502-1256
Fax: (402) 504-3322
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 6410 Nebraska

Profile Details

NPI number 1467440313
LBN Legal business name Bennett, Jane Laura
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2005
Last updated Aug 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467440313 NPPES
Nebraska MEDICAID 10025256300

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