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MR. JACK DAVID BENNETT M.D.
NPI 1518167550
Pediatrics in Waverly, OH

Active since July 18, 2007
617 S MARKET ST, #2, WAVERLY, OH 45690(740) 941-1859(740) 941-1859 Get Directions Write a Review

NPPES record last updated: July 18, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mr. Jack David Bennett M.d. NPPES

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

MR. JACK DAVID BENNETT M.D. (NPI 1518167550) is an individual pediatrics provider in Waverly, Ohio, licensed in Ohio (35067134) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1518167550
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMR. JACK DAVID BENNETTCredential: M.D.
Location Address617 S MARKET ST, #2Waverly, OH 45690-1654
Mailing Address617 S Market St, #2Waverly, OH 45690-1654 · (740) 941-1859 · Fax (740) 941-1859
Phone(740) 941-1859
Fax(740) 941-1859
Sole ProprietorYes
Enumeration DateJuly 18, 2007
✔ NPI 1518167550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35067134
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
617 S MARKET ST, Waverly, OH 45690
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Other Identifiers 2

Medicare UPINF92648
Medicaid0986429OH

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 Jack Bennett's NPI number?

The NPI number for Jack Bennett is 1518167550. It was assigned to this individual provider in the NPPES registry on July 18, 2007.

Where is Jack Bennett located?

Jack Bennett practices at 617 S Market St #2, Waverly, OH 45690. The listed phone number is (740) 941-1859.

What is Jack Bennett's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Jack Bennett was last updated on July 18, 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.