| Benton Family Dentistry | |
|
1200 Ferguson Dr Ste 4 Benton AR 72015-2947 | |
| (501) 317-7544 | |
| Not Available |
| Full Name | Benton Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1200 Ferguson Dr Ste 4, Benton, Arkansas |
| Authorized Official Name and Position | Justin C Bethel (OWNER) |
| Authorized Official Contact | 5013177544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benton Family Dentistry 1200 Ferguson Dr Ste 4 Benton AR 72015-2947 Ph: (501) 317-7544 | Benton Family Dentistry 1200 Ferguson Dr Ste 4 Benton AR 72015-2947 Ph: (501) 317-7544 |
| NPI Number | 1134646698 |
|---|---|
| Provider Enumeration Date | 08/25/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134646698 | NPI | - | NPPES |
| 1861885515 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3339 (Arkansas) | Primary |
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Cliff Hays Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 Short St, Benton, AR 72015 Phone: 501-778-8241 | |
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