DR. JERRY DELL BENNETT JR. DMD
NPI 1679636419
Dentist - General Practice in Valdosta, GA

Q: What is Jerry Bennett's NPI number?

The NPI number for Jerry Bennett is 1679636419. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Q: What is Jerry Bennett's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jerry Bennett was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since December 19, 2006

305 UNIVERSITY DR, SUITE 3, VALDOSTA, GA 31602(229) 671-1900(229) 671-1999 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jerry Dell Bennett Jr. Dmd NPPES

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

DR. JERRY DELL BENNETT JR. DMD (NPI 1679636419) is an individual general practice provider in Valdosta, Georgia, licensed in Georgia (11534) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1679636419

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JERRY DELL BENNETT JR.Credential: DMD

Location Address305 UNIVERSITY DR, SUITE 3Valdosta, GA 31602-2626

Mailing Address305 University Dr, Suite 3Valdosta, GA 31602-2626 · (229) 671-1900 · Fax (229) 671-1999

Phone(229) 671-1900

Fax(229) 671-1999

Sole ProprietorNo

Enumeration DateDecember 19, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1679636419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in GA · 11534

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.

Also ListedDentistTaxonomy 122300000X · License 11534 (GA)

305 UNIVERSITY DR, Valdosta, GA 31602

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Other Identifiers 3

Other1427670GA · United Concordia

Other9813258GA · Doral

Other100967GA · Avesis

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 Jerry Bennett's NPI number?

The NPI number for Jerry Bennett is 1679636419. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Jerry Bennett located?

Jerry Bennett practices at 305 University Dr Suite 3, Valdosta, GA 31602. The listed phone number is (229) 671-1900.

What is Jerry 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 Jerry Bennett was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.