Lee Larue Bennett, D.D.S

Dentist · Decatur, IL

Individual Active NPI

NPI number 1598983975

Practice location

1221 E Condit St
Decatur, IL 62521-1405
Phone
(217) 423-9930
Fax
(217) 233-5787

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NPI record

NPI
1598983975
Entity type
Individual (Type 1)
Enumeration date
April 23, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X — IL

About Dr. Bennett

Lee Larue Bennett, D.D.S is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1221 E Condit St, Decatur, IL 62521-1405. The NPI number 1598983975 was assigned on April 23, 2007 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of Lee Larue Bennett, D.D.S?

The NPI number is 1598983975.

What is the phone number of Dr. Bennett?

The phone number listed for the practice location is (217) 423-9930.

Where is Dr. Bennett located?

1221 E Condit St, Decatur, IL 62521-1405.

What is the taxonomy code for Dr. Bennett?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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