Brandon K Bennett DDS LLC
Organization Active NPI Dental Clinic/Center · Eldon, MO
NPI 1801416722 · NPPES record last updated Apr 21, 2020
Key facts
- NPI
- 1801416722
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- BRANDON K BENNETT DDS LLC
- Practice address
- 202 N Maple St
Eldon, MO 65026-1776 - Phone
- (573) 392-5213
- NPI assigned
- Apr 21, 2020
- Organization subpart
- No
Authorized official
- Name
- Dr. Brandon Keith Bennett, DDS
- Title
- President
- Phone
- (573) 392-5213
Practitioners 3
-
Brandon Keith Bennett, D.D.S.
-
Josiah Moutray, DDS
-
Gary Robert Dawson, D.D.S.
National Provider Directory
Locations
202 N Maple St
Eldon, MO 65026
Phone (573) 392-5213
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
202 N Maple St
Eldon, MO 65026-1776
Mailing address
202 N Maple St
Eldon, MO 65026-1776
Phone (573) 392-5213
Other names
- Eldon Family Dentistry
Other providers in Eldon, MO
- Jeanell Bertels
- Kayla Jean Blaes
- Henry Keiler Bluhm Jr.
- Megan Boehmer
- Dennis R. Bond
- Bristol Care, Inc.
- Renate Brodecker
- Carey L Cadwallader
- Capital Region Medical Center
- Sarah E Cary
All providers in Eldon, MO · Dental Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2020. 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.