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DR. JEFFREY DAVID BENNETT DMD
NPI 1053416602
Dentist - Oral and Maxillofacial Surgery in Indianapolis, IN

Active since September 14, 2006
1050 WISHARD BLVD, ROOM 4201, INDIANAPOLIS, IN 46202(317) 278-3699(317) 278-2243 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jeffrey David Bennett Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEFFREY DAVID BENNETT DMD (NPI 1053416602) is an individual oral and maxillofacial surgery provider in Indianapolis, Indiana, licensed in Indiana (12010608A) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1053416602
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JEFFREY DAVID BENNETTCredential: DMD
Location Address1050 WISHARD BLVD, ROOM 4201Indianapolis, IN 46202-2872
Mailing Address1050 Wishard Blvd, Room 4201Indianapolis, IN 46202-2872 · (317) 278-3699 · Fax (317) 278-2243
Phone(317) 278-3699
Fax(317) 278-2243
Sole ProprietorNo
Enumeration DateSeptember 14, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1053416602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in IN · 12010608A
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1050 WISHARD BLVD, Indianapolis, IN 46202
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Other Identifiers 1

Medicare UPINT93014(F)IN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MORGAN KLEPINGER
Physician Assistant
1050 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 274-7447
HEATHER DOST DDS
Dentist
1050 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 278-3662
EMILY ANN ZANOLLA PA-C
Student in an Organized Health Care Education/Training Program
1050 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 278-1900
PROF. JOANNE LOUISE WHELAN PHD, RDN, LD
Dietitian, Registered
1050 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 274-9901
TARA MARIE MOCKER
Student in an Organized Health Care Education/Training Program
1050 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 274-7447
CATHY ANN SCOTT MSW, ACSW, LCSW
Social Worker (Clinical)
1050 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 630-2590
UNIVERSITY EMERGENCY MEDICINE
Emergency Medicine
1050 WISHARD BLVD, SUITE R2200
INDIANAPOLIS, IN 46202
Marion County (317) 630-7276
KELLY L THOMPSON MSW, LSW
Social Worker
1050 WISHARD BLVD, INFECTIOUS DISEASE CLINIC
INDIANAPOLIS, IN 46202
Marion County (317) 630-6612

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Bennett's NPI number?

The NPI number for Jeffrey Bennett is 1053416602. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Jeffrey Bennett located?

Jeffrey Bennett practices at 1050 Wishard Blvd Room 4201, Indianapolis, IN 46202. The listed phone number is (317) 278-3699.

What is Jeffrey Bennett's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Jeffrey Bennett was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.