Bennett, Michael D
Bennett, Michael D is an sole proprietor health care provider with primary practice located at 3737 N Meridian St Suite 400, Indianapolis IN 46208-4348. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bennett, Michael D can be contacted via phone (317) 931-3229.Contact Information
Primary practice address
3737 N Meridian St Suite 400
Indianapolis IN 46208-4348
Phone: (317) 931-3229
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 12007758 | Indiana |
Profile Details
| NPI number | 1639217060 |
|---|---|
| LBN Legal business name | Bennett, Michael D |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Oct 29th, 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 | 1639217060 | NPPES |
| Indiana | MEDICAID | 100166190 |
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