Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1871618686 Deactivated / Inactive NPI Male Practitioner

Dr. Willie Rufus Bennett , DDS

Dentist • Cordele, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Willie Bennett has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 20, 2007
NPI Deactivation Date September 03, 2019
Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Willie Bennett, DDS was a registered Dentist practicing in Cordele, GA. Throughout an active medical career spanning 12 years, Dr. Bennett provided care at the practice location at 604 15TH AVENUE EAST until profile deactivation on 2019-09-03.

Practice Location & Contact Primary Location

Practice Address

604 15th Avenue East

Cordele, GA 31015

Telephone 2292735753
Fax 2292735757
Associated Practice Facility / Clinic
🏢 Georgia Dental Associates Llc Facility NPI 1346919537

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Cordele, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
2 Specialists

Practicing in Cordele, GA (2164 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License GA 7687

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Elisabeth Waldrip , DMD

Dentist - General Practice

NPI 1669784393

Doctor of Dental Medicine

NPI 1710805189

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 03, 2019

Record deactivated on September 03, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 604 15TH AVENUE EAST, CORDELE, GA 31015 (Tel: 2292735753)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 1072, CORDELE, GA 310101072 (Tel: 2292735753)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WILLIE BENNETT, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #7687 in GA)

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Initial NPI Registration & Enumeration March 20, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871618686
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2007
Last Update: July 08, 2007
Deactivation Date: September 03, 2019

Mailing Address

Po Box 1072

Cordele, GA 310101072

Phone: 2292735753

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.