Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACK DAVID BENNETT, M.D.
Active Sole ProprietorMR. JACK DAVID BENNETT, M.D. is a Pediatrics healthcare provider located in WAVERLY, Ohio. NPI 1518167550 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · WAVERLY, OH
Registration Details
- NPI Number
- 1518167550
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 18, 2007 (19.093694615361 yrs)
- Last Updated
- Jul 18, 2007
- License
-
35067134 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
617 S MARKET ST#2WAVERLY, OH, 456901654Browse OH providers · Browse ZIP 45690
- Phone
- 7409411859
- Fax
- 7409411859
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in WAVERLY, OH
| Name | Credential | NPI |
|---|---|---|
| MOHAMMAD T. ALI | M.D. | 1265406151 |
| JILL A NEFF | DO | 1598783730 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.