James Robert Bennett, D.D.S

Individual provider Active NPI General Practice Dentistry · Weston, WV

NPI 1861645830 · NPPES record last updated Nov 3, 2008

Key facts

NPI
1861645830
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
2415 (WV)
Practice address
19 Garton PLZ
Weston, WV 26452-2128
Phone
(304) 269-6151
Fax
(304) 269-6151
NPI assigned
Nov 3, 2008
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Family Dentistry of Weston, PLLC General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2415 WV Yes

Addresses

Primary practice location

19 Garton PLZ
Weston, WV 26452-2128

Mailing address

19 Garton PLZ
Weston, WV 26452-2128
Phone (304) 269-6151

Other providers in Weston, WV

All providers in Weston, WV · General Practice Dentistry in West Virginia

Sources for this page

Verify at the official NPI Registry.