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DAN BENNETT M.D. P.A. NPI 1679788640


NPI Information

NPI: 1679788640
Provider Name: DAN BENNETT, M.D., P.A.

Doing Business As: BENNETT OPHTHALMOLOGY GROUP

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2475 5TH ST N
COLUMBUS, MS
ZIP 39705
Phone: (662) 328-1254
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DAN BENNETT, M.D., P.A. is a specialist in Columbus, MS. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DAN BENNETT, M.D., P.A. NPI is 1679788640. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bennett Ophthalmology Group.

The provider's business location address is:

2475 5TH ST N
COLUMBUS, MS
ZIP 39705-005
Phone: (662) 328-1254
Fax: (662) 327-2033

The provider's authorized official is Marsha P Ward .
The authorized official title is Clinic Manager and has the following contact phone number (662) 328-1254.

The enumeration date for this NPI number is 5/13/2007 and was last updated on 2/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist12818MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CM6726OTHERGEORGIARR MEDICARE
2C00951MEDICARE PINMISSISSIPPI
308101054MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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