Leigh Underwood Bennett, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN014540 Issued in GA

Practice address

4226 Hartley Bridge Rd Ste 102
Macon, GA 31216

Phone

(478) 957-2486

NPI assigned

Jul 9, 2012

Last updated

Nov 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Hartley Bridge Family Dentistry

  • General Practice Dentistry
  • Macon, GA
  • NPI 1104206713
  NPD Authorized official
• Sequoia Dental Assisting School

  dba Sequoia Dental Clinic

  • Dental Clinic/Center
  • Macon, GA
  • NPI 1922710649
  NPD Authorized official

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1881959518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4226 HARTLEY BRIDGE RD STE 102",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312164116",
            "telephone_number": "478-957-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4226 HARTLEY BRIDGE RD STE 102",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31216",
            "telephone_number": "478-957-2486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4319 Hartley Bridge Rd",
            "address_2": "Suite 130",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312165866",
            "country_code": "US",
            "telephone_number": "478-957-2486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "LEIGH",
        "middle_name": "UNDERWOOD",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Mays Johnston, Sr, M.D.
• Alexis Baylee Bennett
• Glen Bennett, LPC
• Gregory Daniel Bennett, MD
• Joni L Bennett, CRNA
• Staci Thomas Bennett, FNP-C
• Stephanie Faye Bennett
• Margaret Bennette, OTR/L
• Ericha Ross Benshoff, MD
• Amelia Bentley

• General Practice Dentistry in Macon, GA
• Providers in Macon, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.