MICHAEL BENNETT DMD
NPI 1073258786
Dentist - General Practice in Shawnee, OK

Active since April 28, 2022
3703 N KICKAPOO AVE, SHAWNEE, OK 74804(405) 275-0640(405) 225-3008 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Bennett Dmd NPPES

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

MICHAEL BENNETT DMD (NPI 1073258786) is an individual general practice provider in Shawnee, Oklahoma, licensed in Oklahoma (7543) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1073258786
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMICHAEL BENNETTCredential: DMD
Location Address3703 N KICKAPOO AVEShawnee, OK 74804-1703
Mailing Address400 Riverwalk Ter Ste 250Jenks, OK 74037-5619 · (918) 998-0996 · Fax (918) 235-9079
Fax(405) 225-3008
Sole ProprietorNo
Enumeration DateApril 28, 2022
NPPES CertifiedApril 28, 2022
NPI 1073258786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OK · 7543
Definition
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.
3703 N KICKAPOO AVE, Shawnee, OK 74804

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Dentist
3703 N KICKAPOO AVE
SHAWNEE, OK 74804
Dentist (General Practice)
3703 N KICKAPOO AVE
SHAWNEE, OK 74804
Dentist
3703 N KICKAPOO AVE
SHAWNEE, OK 74804
Dentist (General Practice)
3703 N KICKAPOO AVE
SHAWNEE, OK 74804

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 Michael Bennett's NPI number?

The NPI number for Michael Bennett is 1073258786. It was assigned to this individual provider in the NPPES registry on April 28, 2022.

Where is Michael Bennett located?

Michael Bennett practices at 3703 N Kickapoo Ave, Shawnee, OK 74804. The listed phone number is (405) 275-0640.

What is Michael Bennett's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Michael Bennett accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Michael Bennett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Bennett was last updated on April 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.