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Michael Bennett, DMD
NPI 1073258786 · on the registry since 2022
Practice
- Address
- 3703 N Kickapoo Ave
Shawnee, OK 74804 - Phone
- (405) 275-0640
- Fax
- (405) 225-3008
- Organisation at this address
- Summer Dental Shawnee Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-04-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma