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DR. MISTY MARIE BENNETT DDS
NPI 1609525757
Dentist - General Practice in Shaw Afb, SC

Active since March 23, 2022
420 POLIFKA DR BLDG 1042, SHAW AFB, SC 29152(803) 895-6951 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Misty Marie Bennett Dds NPPES

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

DR. MISTY MARIE BENNETT DDS (NPI 1609525757) is an individual general practice provider in Shaw Afb, South Carolina, licensed in Indiana (12013810A) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1609525757
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MISTY MARIE BENNETTCredential: DDS
Location Address420 POLIFKA DR BLDG 1042Shaw Afb, SC 29152-5100
Mailing Address420 Polifka Dr Bldg 1042Shaw Afb, SC 29152-5100
Phone(803) 895-6951
Sole ProprietorNo
Enumeration DateMarch 23, 2022
Last NPPES UpdateOctober 11, 2024
NPPES CertifiedOctober 11, 2024
✔ NPI 1609525757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IN · 12013810A
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.
420 POLIFKA DR BLDG 1042, Shaw Afb, SC 29152
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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.

DANIEL BRYCE PETERSEN D.M.D.
Dentist
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Sumter County (803) 895-6951
CODY K DARRINGTON DO
Family Medicine
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Sumter County (803) 895-2273
REBECCA SARAH SLOGIC M.D.
Pediatrics
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Sumter County (803) 895-6356
DR. ANGELIQUE STACEY ANN FORRESTER MD
Family Medicine
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Sumter County (038) 956-2458
DR. JEFFREY ALLAN BANKS M.D.
Pediatrics
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Sumter County (803) 895-6356
JOHN ALAN BARNETT RPH
Pharmacist
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Sumter County (803) 895-6464
MR. BRIAN E. GRAY D.P.T.
Physical Therapist
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Sumter County (803) 728-0421
CHARLENE UBAH OD
Optometrist
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Sumter County (803) 895-6579

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 Misty Bennett's NPI number?

The NPI number for Misty Bennett is 1609525757. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is Misty Bennett located?

Misty Bennett practices at 420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152. The listed phone number is (803) 895-6951.

What is Misty Bennett's specialty?

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

When was this NPI record last updated?

The NPPES record for Misty Bennett was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.