Bennett, Michael
Bennett, Michael is an individual health care provider with primary practice located at 3703 N Kickapoo Ave , Shawnee OK 74804-1703. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bennett, Michael can be contacted via phone (405) 275-0640.Contact Information
Primary practice address
3703 N Kickapoo Ave
Shawnee OK 74804-1703
Phone: (405) 275-0640
Fax: (405) 225-3008
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 7543 | Oklahoma |
Profile Details
| NPI number | 1073258786 |
|---|---|
| LBN Legal business name | Bennett, Michael |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2022 |
| Last updated | Apr 28th, 2022 - about 4 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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