Benton Family Dentistry Llc | |
192 Burt Blvd Benton LA 71006-4900 | |
(318) 965-2424 | |
(318) 965-0943 |
Full Name | Benton Family Dentistry Llc |
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Speciality | Dentist - General Practice |
Location | 192 Burt Blvd, Benton, Louisiana |
Authorized Official Name and Position | Misty Crump (DENTIST) |
Authorized Official Contact | 3189652424 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Benton Family Dentistry Llc Po Box 427 Benton LA 71006-0427 Ph: (318) 965-2424 | Benton Family Dentistry Llc 192 Burt Blvd Benton LA 71006-4900 Ph: (318) 965-2424 |
NPI Number | 1821319476 |
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Provider Enumeration Date | 06/17/2010 |
Last Update Date | 06/17/2010 |
Identifier | Type | State | Issuer |
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1821319476 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 5793 (Louisiana) | Primary |
Southern Roots Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5606 Benton Rd Ste A, Benton, LA 71006 Phone: 318-741-5665 |