Active NPI
Terry R Bennett DMD Inc
- Dentist
- Tulsa, OK
National Provider Identifier
1013201052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3828
- Legal business name
- TERRY R BENNETT DMD INC
- Practice address
- 1616 S Denver Ave
Tulsa, OK 74119-4233 - Phone
- (918) 582-8651
- Fax
- (918) 582-3903
- NPI assigned
- Jun 7, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Terry Bennett, D.M.D.
- Title
- Owner
- Phone
- (918) 582-8651
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3828 | OK | Primary |
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
1616 S Denver Ave
Tulsa, OK 74119-4233
Mailing address
1616 S Denver Ave
Tulsa, OK 74119-4233
Phone (918) 582-8651
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Tulsa, OK
- NPI 1740372077
-
- Public Health Dentistry
- Okmulgee, OK
- NPI 1164097747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1311638400000",
"number": "1013201052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 S DENVER AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741194233",
"telephone_number": "918-582-8651",
"fax_number": "918-582-3903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 S DENVER AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741194233",
"telephone_number": "918-582-8651",
"fax_number": "918-582-3903"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TERRY R BENNETT DMD INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-07",
"last_updated": "2011-07-26",
"status": "A",
"authorized_official_last_name": "BENNETT",
"authorized_official_first_name": "TERRY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "918-582-8651",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "OK",
"license": "3828",
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.