Mac L Bennett III DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MAC L BENNETT III DDS INC

Practice address

714 B South Madison
Madisonville, TX 77864

Phone

(936) 348-5158

Fax

(936) 348-5622

NPI assigned

Aug 31, 2006

Last updated

Jun 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mac Leon Bennett III, DDSNPI 1407968803

Title

President

Phone

(936) 348-5158

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mac Leon Bennett III, DDS

  • General Practice Dentistry
  • Madisonville, TX
  • NPI 1407968803
  NPD (past) Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1457463820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "MADISONVILLE",
            "state": "TX",
            "postal_code": "77864",
            "telephone_number": "936-348-5158",
            "fax_number": "936-348-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 B SOUTH MADISON",
            "city": "MADISONVILLE",
            "state": "TX",
            "postal_code": "77864",
            "telephone_number": "936-348-5158",
            "fax_number": "936-348-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAC L BENNETT III DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "MAC",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-348-5158",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Freeman Lee, LPC
• Virgil Allen Lee, H.I.S.
• Legacy Healthcare Corp
• Legacy Healthcare Corporation (Riverwood Healthcare and Rehabilitation)
• Donald G Little, MD
• Madison St Joseph Health Center (CHI St Joseph Health Madison Hospital)
• Madison St Joseph Health Center (CHI St Joseph Health Madison Hospital)
• Madisonville Cisd
• Madisonville II Enterprises, LLC (Madisonville Care Center)
• Madisonville III Enterprises, LLC (Madisonville Assisted Living)

• General Practice Dentistry in Madisonville, TX
• Providers in Madisonville, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.