Provider Demographics
NPI:1295931277
Name:HAMMETT, BENNETT TERRELL (DMD)
Entity type:Individual
Prefix:DR
First Name:BENNETT
Middle Name:TERRELL
Last Name:HAMMETT
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4419 AUGUSTA RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29073-9157
Mailing Address - Country:US
Mailing Address - Phone:803-957-5770
Mailing Address - Fax:
Practice Address - Street 1:4419 AUGUSTA RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29073-9157
Practice Address - Country:US
Practice Address - Phone:803-957-5770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4313122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist