IndividualActive
Brandon Bennett, D.D.S.
NPI 1609017490 · General Practice Dentistry · Eldon, MO
Provider details
- NPI number
- 1609017490
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 2009013178 (MO)
Specialties & taxonomies
Dental Providers
Practice location
202 N Maple St
Eldon, MO 65026-1776
Phone: (573) 392-5213
Fax: (573) 392-5213
Approximate (ZIP-level) locationGet directions
Mailing address
23 Mockingbird Rd
Lake Ozark, MO 65049-7108
Registry dates
- Enumerated
- 2009-03-09
- Last updated
- 2013-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.