Bennett Pediatric Dentistry, LLC

Organization Active NPI Dental Clinic/Center · Heflin, AL

NPI 1609753136 · NPPES record last updated Aug 18, 2025

Key facts

NPI
1609753136
Entity type
Organization (NPI type 2)
Primary specialty
Dental Clinic/Center 261QD0000X
Legal business name
BENNETT PEDIATRIC DENTISTRY, LLC
Practice address
960 Ross St
Heflin, AL 36264-1164
Phone
(256) 591-3443
NPI assigned
Aug 18, 2025
Organization subpart
No

Authorized official

Name
Mattie Bennett, DMD NPI 1700235934
Title
Owner
Phone
(256) 591-3443

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Yes

Addresses

Primary practice location

960 Ross St
Heflin, AL 36264-1164

Mailing address

491 Almon St
Heflin, AL 36264-1381
Phone (256) 591-3443

Other providers in Heflin, AL

All providers in Heflin, AL · Dental Clinic/Center in Alabama

Sources for this page

Verify at the official NPI Registry.