IndividualActive
Bennett Vaculik, D.D.S.
NPI 1174641542 · General Practice Dentistry · Emory, TX
Provider details
- NPI number
- 1174641542
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 12250 (TX)
Specialties & taxonomies
Dental Providers
Practice location
903 E Lennon Dr Ste 108
Emory, TX 75440-5229
Phone: (903) 474-6010
Fax: (903) 474-6011
Approximate (ZIP-level) locationGet directions
Mailing address
903 E Lennon Dr Ste 108
Emory, TX 75440-5229
Registry dates
- Enumerated
- 2007-03-26
- Last updated
- 2019-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.