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General NPI Number Information
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NPI Number | 1528851847
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Entity Type | Individual
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Provider Name | LAURENCE T BENNETT DDS
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Gender | Male
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 3401 W TECUMSEH RD
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City | NORMAN
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State | OK
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Zip | 73072-1809
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Country | US
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Telephone | 405-400-1745
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Fax |
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Provider Business Mailing Address
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Address Line | 21409 SE 134TH ST
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City | MCLOUD
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State | OK
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Zip | 74851-8722
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Country | US
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Telephone | 405-308-6499
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 8018
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License Number State | OK
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