| Benton Dental Center | |
|
216 E Carpenter St Benton AR 72015-3418 | |
| (501) 315-1512 | |
| Not Available |
| Full Name | Benton Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 216 E Carpenter St, Benton, Arkansas |
| Authorized Official Name and Position | Chad Matone (OWNER/DENTIST) |
| Authorized Official Contact | 5012051084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benton Dental Center Po Box 241785 Little Rock AR 72223-0014 Ph: (501) 205-1084 | Benton Dental Center 216 E Carpenter St Benton AR 72015-3418 Ph: (501) 315-1512 |
| NPI Number | 1104294487 |
|---|---|
| Provider Enumeration Date | 09/03/2015 |
| Last Update Date | 02/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104294487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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