DR. JERRY DELL BENNETT DMD NPI 1679636419

NPI Information

NPI: 1679636419
Provider Name: DR. JERRY DELL BENNETT, DMD
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Individual
Address: 305 UNIVERSITY DR
SUITE 3
VALDOSTA, GA
ZIP 31602
Phone: (229) 671-1900

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NPI Details

DR. Jerry Dell Bennett, DMD is a general practice dentist in Valdosta, GA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Jerry Dell Bennett, DMD NPI is 1679636419. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

305 UNIVERSITY DR
SUITE 3
VALDOSTA, GA
ZIP 31602-626
Phone: (229) 671-1900
Fax: (229) 671-1999

The enumeration date for this NPI number is 12/19/2006 and was last updated on 9/11/2025.

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
1	122300000X	Dentist		11534	GEORGIA	No
2	1223G0001X	Dentist	General Practice	11534	GEORGIA	Yes

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
1	1427670	OTHER	GEORGIA	UNITED CONCORDIA
2	9813258	OTHER	GEORGIA	DORAL
3	100967	OTHER	GEORGIA	AVESIS

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: 11/21/2025

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