Bennett, Gerald E

Bennett, Gerald E is an individual health care provider with primary practice located at 1210 E Plant St Suite 200, Winter Garden FL 34787-2993. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bennett, Gerald E can be contacted via phone (407) 905-8827.

Contact Information

Primary practice address
1210 E Plant St Suite 200 Winter Garden FL 34787-2993
Fax: (407) 654-4528
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN7661 Florida

Profile Details

NPI number 1114929072
LBN Legal business name Bennett, Gerald E
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Apr 13th, 2012 - about 12 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 1114929072 NPPES
Florida MEDICAID 070834800

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