B. Lawrence Bennett DDS PC
Organization Active NPI Dentist · Gillette, WY
NPI 1457565897 · NPPES record last updated Aug 17, 2018
Key facts
- NPI
- 1457565897
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 105761 (CO)
- Legal business name
- B. LAWRENCE BENNETT DDS PC
- Practice address
- 201 W Lakeway Rd Ste 517
Gillette, WY 82718 - Phone
- (719) 551-0556
- Fax
- (719) 219-1376
- NPI assigned
- May 9, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Ben Lawrence Bennett, DDS
- Title
- Owner
- Phone
- (719) 551-0556
Practitioners 1
-
Ben Lawrence Bennett, DDS
National Provider Directory
Locations
1161 Deadwood Ave
Ste 3
Rapid City, SD 57702
Phone (719) 551-0556
201 W Lakeway Rd
Ste 517
Gillette, WY 82718
Phone (719) 551-0556
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 105761 | CO | Yes |
Addresses
Primary practice location
201 W Lakeway Rd Ste 517
Gillette, WY 82718
Mailing address
PO Box 592
Alliance, NE 69301-0592
Phone (719) 551-0556
Other practice location 1
1161 Deadwood Ave Ste 3
Rapid City, SD 57702-0382
Phone (719) 551-0556
Other practice location 2
304 Agate St
Alliance, NE 69301-1000
Phone (719) 551-0556
Other providers in Gillette, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.