Dr Lee Bennett Davis, DDS is a medicare enrolled "Dentist - General Practice" provider in Daleville, Indiana. His current practice location is
12110 W County Road 550 S, Daleville, Indiana. You can reach out to his office (for appointments etc.) via phone at
(765) 378-3391.
Dr Lee Bennett Davis is licensed to practice in Indiana (license number 12007981A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1275756660.
Healthcare Provider's Profile
Full Name | Dr Lee Bennett Davis |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 12110 W County Road 550 S, Daleville, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1275756660
- Provider Enumeration Date: 04/11/2007
- Last Update Date: 02/07/2019
Medicare PECOS Information:
- PECOS PAC ID: 6901109388
- Enrollment ID: I20160119000647
Medical Identifiers
Medical identifiers for Dr Lee Bennett Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275756660 | NPI | - | NPPES |
100105830A | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 12007981A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lee Bennett Davis is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Lee Bennett Davis, DDS 12110 W County Road 550 S, Daleville, IN 47334-9717 Ph: (765) 378-3391 | Dr Lee Bennett Davis, DDS 12110 W County Road 550 S, Daleville, IN 47334-9717 Ph: (765) 378-3391 |
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