Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Bennett, DMD

Individual provider General Practice Dentistry · NPI 1073258786

Michael Bennett, DMD is a General Practice Dentistry in Shawnee, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2022.

Licensed in
OK
In the registry since
2022
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

3703 N Kickapoo Ave
Shawnee, OK 74804-1703
Phone: (405) 275-0640
Fax: (405) 225-3008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 7543 (OK)

Record details

NPI number1073258786
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedApril 28, 2022
Last updated in NPPESApril 28, 2022
Certification dateApril 28, 2022
Mailing address400 Riverwalk Ter Ste 250, Jenks, OK 74037-5619

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