NPI 1609525757

Misty Marie Bennett, DDS

Practitioner General Practice Dentistry Shaw Afb, SC

Practice location

Address: 420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152-5100
Phone: (803) 895-6951

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 12013810A (IN)

Other Dentist providers in South Carolina →

Registry record

NPI: 1609525757
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Mar 2022
Record last updated: 11 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.