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
Phone: (407) 905-8827
Fax: (407) 654-4528
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114929072 | NPPES |
| Florida | MEDICAID | 070834800 |
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