| Benjamin A. Crunk, Dds, Llc | |
|
980 Main St Montevallo AL 35115-3846 | |
| (205) 665-2031 | |
| (205) 665-5560 |
| Full Name | Benjamin A. Crunk, Dds, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 980 Main St, Montevallo, Alabama |
| Authorized Official Name and Position | Benjamin Alan Crunk (OWNER) |
| Authorized Official Contact | 2056652031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin A. Crunk, Dds, Llc 980 Main St Montevallo AL 35115-3846 Ph: (205) 665-2031 | Benjamin A. Crunk, Dds, Llc 980 Main St Montevallo AL 35115-3846 Ph: (205) 665-2031 |
| NPI Number | 1083638746 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083638746 | NPI | - | NPPES |
| 510-03995 | Other | AL | BC/BS OF AL PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4004 (Alabama) | Primary |
Luma Dentistry Montevallo Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 980 Main St, Montevallo, AL 35115 Phone: 205-665-2031 Fax: 205-665-5560 | |
Smart Dental Holdings, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 980 Main St, Montevallo, AL 35115 Phone: 205-665-2031 |