Gerald E Bennett, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN7661 Issued in FL

Practice address

1210 E Plant St
Suite 200
Winter Garden, FL 34787-2993

Phone

(407) 905-8827

Fax

(407) 654-4528

NPI assigned

Aug 11, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Health Center, Inc.

  • Clinic/Center
  • Winter Garden, FL
  • NPI 1851637664
  NPD (past)
• Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Winter Garden, FL
  • NPI 1225374036
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334275200000",
    "number": "1114929072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S WOODLAND ST",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873546",
            "telephone_number": "407-905-8827",
            "fax_number": "407-654-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 E PLANT ST",
            "address_2": "SUITE 200",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347872993",
            "telephone_number": "407-905-8827",
            "fax_number": "407-654-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "GERALD",
        "middle_name": "E",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2012-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN7661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070834800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Bendel, D.O.
• Nicholas Paul Bender, PHARMD
• Jacqueline Eve Benfeld, OTR/L
• Johannys Elaine Benitez Lugo
• Paul Anson Benjamin
• Jamie Leigh Bennett, BEHAVIOR TECHNICIAN
• Laura Benoit
• Ana Bergmann Panetta
• Arianne Michelle Berkland, PA-C
• Limaris Bermudez, M.S.

• Dentist in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.