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NPI Code Detail

MEDICARE: DR. KENT STUART BENNETT DO, PHARMD, MPH

MEDICARE: DR. KENT STUART BENNETT DO, PHARMD, MPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12083P0901XPublic Health & General Preventive Medicine Physician34.010507OH
22083X0100XOccupational Medicine Physician34.010507OH
3208U00000XClinical Pharmacology Physician02002509AIN
4390200000XStudent in an Organized Health Care Education/Training Program34.010507OH

General Provider Information

NPI Number : 1750369146
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENT STUART BENNETT DO, PHARMD, MPH
Provider Business Mailing Address
First Line : 405 W GRAND AVE
Second Line :
City : DAYTON
State : OH
Zip : 45405-7538
Country : US
Telephone Number : 937-723-4124
Fax Number :
Provider Business Practice Location Address
First Line : 405 W GRAND AVE
Second Line :
City : DAYTON
State : OH
Zip : 45405-7538
Country : US
Telephone Number : 937-723-3248
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2006
Last Update Date : 06/04/2026

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