Dr Breck Layne Bennett, DDS | |
555 Manco Road, Suite A, Lewisville, TX 75067 | |
(972) 436-1215 | |
(972) 436-3557 |
Full Name | Dr Breck Layne Bennett |
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Gender | Male |
Speciality | Dentist - General Practice |
Location | 555 Manco Road, Lewisville, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568572394 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 18880 (Texas) | Primary |
Entity Name | Choctaw Nation Of Oklahoma |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659347623 PECOS PAC ID: 1759294838 Enrollment ID: O20031106000326 |
Mailing Address | Practice Location Address |
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Dr Breck Layne Bennett, DDS 555 Manco Road, Suite A, Lewisville, TX 75067 Ph: (972) 436-1215 | Dr Breck Layne Bennett, DDS 555 Manco Road, Suite A, Lewisville, TX 75067 Ph: (972) 436-1215 |
Dr. Jeff S Tan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 930 W Main St, Lewisville, TX 75067 Phone: 469-444-1595 | |
Dr. Andrew Warren Randall, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 457 W Main St, Lewisville, TX 75057 Phone: 972-436-2431 Fax: 972-436-5633 | |
Allan R Weaver, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1330 A W Main St, Lewisville, TX 75067 Phone: 972-436-1553 Fax: 972-353-5004 | |
Mamatha Valishetty, Dentist Medicare: Not Enrolled in Medicare Practice Location: 755 State Highway 121 Byp # A200, Lewisville, TX 75067 Phone: 732-207-9775 | |
Dr. Shirley E Mathew, DDS, FAGD Dentist Medicare: Not Enrolled in Medicare Practice Location: 860 Hebron Pkwy, Suite 902, Lewisville, TX 75057 Phone: 972-459-1100 Fax: 469-675-6495 | |
James Ian Ballou, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2520 King Arthur Blvd Ste 105, Lewisville, TX 75056 Phone: 972-899-1465 | |
Dr. Kathleen Huan Pham, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 951 W Main St, Suite A, Lewisville, TX 75067 Phone: 972-434-4300 Fax: 972-360-3294 |