Todd M Bennett, DDS, MDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

5287 Issued in AL

Practice address

3210 Old Shell Rd
Mobile, AL 36607-2505

Phone

(251) 471-8008

Fax

(251) 471-0018

NPI assigned

Nov 7, 2006

Last updated

Jul 19, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1144399668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 OLD SHELL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366072505",
            "telephone_number": "251-471-8008",
            "fax_number": "251-471-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 OLD SHELL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366072505",
            "telephone_number": "251-471-8008",
            "fax_number": "251-471-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "TODD",
        "middle_name": "M",
        "credential": "DDS, MDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AL",
            "license": "5287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Christine Bennett, MD
• Erika Joyce Bennett, BA
• J. Michael Bennett, PHARM D
• Kenneth W Bennett, CRNA
• Thomas S Bennett, PHD
• April S Benson, RN
• Regenia Benson
• David B Bentley, ATC
• Emily Sawyer Bentley, DNP
• Jack Bentley, P.T.

• Orthodontics and Dentofacial Orthopedics Dentistry in Mobile, AL
• Providers in Mobile, AL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.