BENNETT FAMILY DENTISTRY – NPI #1033215314
Clinic/Center

BENNETT FAMILY DENTISTRY is an AHC clinic located in CAPE GIRARDEAU, MO. NPPES has assigned the NPI number 1033215314 to BENNETT FAMILY DENTISTRY on September 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BENNETT FAMILY DENTISTRY” is a dba name, the actual legal business name for this organization is MICHAEL W BENNETT DDS PC. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BENNETT FAMILY DENTISTRY below.

NPI Profile for
MICHAEL W BENNETT DDS PC

NPI Number
1033215314
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MICHAEL W BENNETT DDS PC
Doing Business As (dba): BENNETT FAMILY DENTISTRY
Primary location
1200 N CAPE ROCK DR
CAPE GIRARDEAU, MO 63701
Phone: (573) 334-8013 Fax: (573) 334-4101
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CONNIE RESSEL
OFFICE MANAGER
Phone: (573) 334-8013
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.