DR. LEE LARUE BENNETT (NPI# 1598983975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598983975 |
| Entity Type | Individual |
| Full Name | DR. LEE LARUE BENNETT |
| Credential | D.D.S |
| Practice Address |
1221 E Condit St Decatur IL 62521-1405 |
| Practice Telephone | 2174239930 |
| Practice Fax Number | 2172335787 |
| Mailing Telephone | 2174239930 |
| Mailing Fax Number | 2172335787 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794120 | Lee Ann Bennett | Community Health Worker | 10026 E 21st St Ste 21, Indianapolis, IN 46229-1802 | 2019-11-17 |
| 1588753784 | Lee Wall Bennett | Radiology | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-10-12 |
| 1982627634 | Lee C Bennett IIi | Physical Therapist | 10 High St, S. C. Ortho - Suite G, Wakefield, RI 02879-3144 | 2006-07-25 |
| Street Address |
1221 E CONDIT ST |
| City | DECATUR |
| State | IL |
| Zip Code | 62521-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205857828 | County of Macon | Clinic/Center | 1221 E Condit St, Decatur, IL 62521-1405 | 2006-07-21 |
| 1720129356 | Macon County Health Department | Public Health or Welfare | 1221 E Condit St, Decatur, IL 62521-1405 | 2007-02-08 |
| 1306923057 | Kenneth Preston Webb | Dentist | 1221 E Condit St, Decatur, IL 62521-1405 | 2006-11-01 |
| 1770677304 | Hannah Hewon Yasunaga | Dentist | 1221 E Condit St, Decatur, IL 62521-1405 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927988 | Caleb David Braasch | Pharmacist | 1818 South Airport Rd, Decatur, IL 62521 | 2020-09-16 |
| 1295390490 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 | 2019-05-03 |
| 1396300638 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 E Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1679138911 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 East Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1154848034 | Zack Shaw | Physical Therapist | 4855-57 East 36, Decatur, IL 62521 | 2017-08-23 |
| 1790032852 | Prashant Morolia | Family Medicine | 4775 E Maryland St, Decatur, IL 62521 | 2012-08-08 |
| 1003188913 | Evergreen Place Decatur, LLC | Assisted Living Facility | 4825 E Evergreen Court, Decatur, IL 62521 | 2012-02-08 |
| 1104133099 | Suzette Marie Shafer | Occupational Therapy Assistant | 1790 S. Fairview Ave., Decatur, IL 62521 | 2010-09-13 |
| 1467784090 | Community Health Improvement Center | Clinic/Center | 1221 East Condit Street, Decatur, IL 62521 | 2010-02-08 |
| 1982839056 | Kelly Clark Dds PC | Dentist | 3737 Us Rt 36 E, Decatur, IL 62521 | 2009-05-19 |
| Find all providers in zip 62521 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763380 | Ah Chong | Dentist | 755 Commerce Dr Ste 513, Decatur, GA 30030-2618 | 2020-09-08 |
| 1891327904 | Vital Smiles Alabama II PC | Dentist | 809 Beltline Rd Sw Ste A, Decatur, AL 35601-6337 | 2020-02-06 |
| 1568001147 | Amanda Nkechinyere Udunka | Dentist | 3106 Robinwood Trl, Decatur, GA 30034-3553 | 2019-12-31 |
| 1972097459 | Ashley Marie Nowdomski | Dentist | 1353 E Mound Rd Ste 101, Decatur, IL 62526-3600 | 2018-06-19 |
| 1639609340 | Zi Jian Wu | Dentist | 2570 Blackmon Dr Ste 310, Decatur, GA 30033-6197 | 2017-06-14 |
| 1780036848 | Smiles of Decatur P.C. | Dentist | 2458 Wesley Chapel Rd Ste B, Decatur, GA 30035-3423 | 2016-07-12 |
| 1093102055 | Kevin Jeffrey Greene | Dentist | 1821 Beltline Rd Sw, Decatur, AL 35601-5506 | 2015-04-16 |
| 1801225479 | Jorge Carlos Griswold | Dentist | 2680 Lawrenceville Hwy Ste 102, Decatur, GA 30033-2526 | 2013-11-04 |
| 1376885343 | Paul Duane Potter | Dentist | 280 W North St, Decatur, IL 62522-2222 | 2013-03-18 |
| 1508127135 | Kyoung Yun Lee | Dentist | 141 E Pershing Rd, Decatur, IL 62526-3213 | 2012-05-30 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.