| Benton Family Dentistry Llc | |
|
192 Burt Blvd Benton LA 71006-4900 | |
| (318) 965-2424 | |
| (318) 965-0943 |
| Full Name | Benton Family Dentistry Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 06/17/2010 |
| Last Update Date | 06/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821319476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5793 (Louisiana) | Primary |
Sr Benton Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5606 Benton Rd Ste A, Benton, LA 71006 Phone: 318-741-5665 | |
318 Pediatric Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 613 Kingston Rd, Benton, LA 71006 Phone: 318-935-9661 Fax: 318-935-9662 |