JARVARIS BENNETT
NPI 1770057184
Dental Therapist in Montevideo, MN

Active since January 18, 2019
209 S 1ST ST, MONTEVIDEO, MN 56265(320) 269-6406 Get Directions Write a Review

NPPES record last updated: January 18, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jarvaris Bennett NPPES

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

JARVARIS BENNETT (NPI 1770057184) is an individual dental therapist in Montevideo, Minnesota, licensed in Minnesota (103) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1770057184
Entity TypeIndividualMale
Primary Taxonomy125J00000X
Provider Legal NameJARVARIS BENNETT
Location Address209 S 1ST STMontevideo, MN 56265-1412
Mailing Address2429 3rd Ave Se Unit AWillmar, MN 56201-4465 · (678) 588-4533
Sole ProprietorNo
Enumeration DateJanuary 18, 2019
NPI 1770057184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDental TherapistDental Providers
Taxonomy Code125J00000X
License Licensed in MN · 103
Definition
A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations.
209 S 1ST ST, Montevideo, MN 56265

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
209 S 1ST ST
MONTEVIDEO, MN 56265

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 Jarvaris Bennett's NPI number?

The NPI number for Jarvaris Bennett is 1770057184. It was assigned to this individual provider in the NPPES registry on January 18, 2019.

Where is Jarvaris Bennett located?

Jarvaris Bennett practices at 209 S 1st St, Montevideo, MN 56265. The listed phone number is (320) 269-6406.

What is Jarvaris Bennett's specialty?

The primary specialty registered for this NPI is Dental Therapist with taxonomy code 125J00000X.

When was this NPI record last updated?

The NPPES record for Jarvaris Bennett was last updated on January 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.