Bennett, Sandra J.
Bennett, Sandra J. is an individual health care provider with primary practice located at 22400 Se Stark St , Gresham OR 97030-2656. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Bennett, Sandra J. can be contacted via phone (503) 667-0438.Contact Information
Primary practice address
22400 Se Stark St
Gresham OR 97030-2656
Phone: (503) 667-0438
Fax: (503) 665-4870
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D7351 | Oregon |
Profile Details
| NPI number | 1932157609 |
|---|---|
| LBN Legal business name | Bennett, Sandra J. |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Apr 24th, 2008 - about 16 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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