Dr. Misty Marie Bennett is a Shaw Afb, South Carolina based Dentist who is specialized in
General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Misty Marie Bennett is
12013810A for General Practice Dentistry in Indiana. Her current practice location is
420 Polifka Dr Bldg 1042, Shaw Afb. Patients can reach her at
803-895-6951.
Dr. Misty Marie Bennett is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Misty Marie Bennett speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Misty Marie Bennett |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 420 Polifka Dr Bldg 1042, Shaw Afb,
South Carolina, 29152-5100 |
| Phone: | 803-895-6951 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1609525757 |
| NPI Enumeration Date: | 23 Mar, 2022 |
| NPI Last Update On: | 11 Oct, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Misty Marie Bennett are as mentioned below.
| License Number | Specialization | State | Status | |
| 12013810A | General Practice Dentistry | Indiana | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 420 Polifka Dr Bldg 1042,
Shaw Afb, South Carolina |
| Zip: | 29152-5100 |
Patients can reach Dr. Misty Marie Bennett at
420 Polifka Dr Bldg 1042, Shaw Afb, South Carolina or can
call to book an appointment on 803-895-6951.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.