Bennett, Travis W
Bennett, Travis W is an individual health care provider with primary practice located at 307 Boatner Rd Ste 114 , Eglin Afb FL 32542-1302. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bennett, Travis W can be contacted via phone (850) 883-8324.Contact Information
Primary practice address
307 Boatner Rd Ste 114
Eglin Afb FL 32542-1302
Phone: (850) 883-8324
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 65062 | California |
Profile Details
| NPI number | 1306213715 |
|---|---|
| LBN Legal business name | Bennett, Travis W |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2015 |
| Last updated | Aug 3rd, 2023 - about last year |
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.
Popular Providers
-
Orden, Adam
1330 Beacon St Ste 344, Brookline MA 02446-3202 -
Brevard, Rebekah R
101 Stone Harbor Blvd , Cape May Court House NJ 08210-2135 -
Peacock, Edgar Harold
2750 Laurel St Ste 202, Columbia SC 29204-2024 -
Erlichman, Michael C
703 Main Street St. Joseph'S Regional Medical Center, Paterson NJ 07503 -
Steen, Amanda Lee
307 Boatner Rd Ste 114 , Eglin Afb FL 32542-1302 -
Brillman, Robert
4 Ridings Way , West Chester PA 19382-7488 -
Lawrence, Martha M.
1395 Center Dr # D7-6A Ufcd Oral And Maxillofacial Surgery, Box 100416, Gainesville FL 32610-0416 -
Rumple, Karissa A
307 Boatner Rd Ste 114 , Eglin Afb FL 32542-1302