| C. Ben Lennon D.d.s., Inc. | |
|
15613 General Puller Hwy Deltaville VA 23043 | |
| (804) 779-9484 | |
| (804) 776-7487 |
| Full Name | C. Ben Lennon D.d.s., Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15613 General Puller Hwy, Deltaville, Virginia |
| Authorized Official Name and Position | Charles Ben Lennon (PRESIDENT) |
| Authorized Official Contact | 8047259485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C. Ben Lennon D.d.s., Inc. Po Box 736 Deltaville VA 23043-0736 Ph: (804) 776-9484 | C. Ben Lennon D.d.s., Inc. 15613 General Puller Hwy Deltaville VA 23043 Ph: (804) 779-9484 |
| NPI Number | 1548713712 |
|---|---|
| Provider Enumeration Date | 07/25/2016 |
| Last Update Date | 07/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548713712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 401007109 (Virginia) | Primary |