Organization Active NPI

Ab3, PLLC

Doing business as Old Betsy Dental Implants and Dentures

  • Dental Clinic/Center
  • Keene, TX
National Provider Identifier
1740087295
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
AB3, PLLC
Doing business as
Old Betsy Dental Implants and Dentures
Practice address
104 S Old Betsy Rd Ste a
Keene, TX 76059-2462
Phone
(817) 641-2272
NPI assigned
Mar 3, 2025
Last updated
Mar 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brock Bennion, DDSNPI 1912573205
Title
Dentist
Phone
(817) 641-2272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

104 S Old Betsy Rd Ste a
Keene, TX 76059-2462

Mailing address

104 S Old Betsy Rd Ste a
Keene, TX 76059-2462

Other names 1

  • Old Betsy Dental Implants and Dentures Doing business as

National Provider Directory

National Provider Directory

Locations

104 S Old Betsy Rd
Ste A
Keene, TX 76059
Phone (817) 476-4537

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1740087295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S OLD BETSY RD STE A",
            "city": "KEENE",
            "state": "TX",
            "postal_code": "760592462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S OLD BETSY RD STE A",
            "city": "KEENE",
            "state": "TX",
            "postal_code": "760592462",
            "telephone_number": "817-641-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AB3, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-02",
        "status": "A",
        "authorized_official_last_name": "BENNION",
        "authorized_official_first_name": "BROCK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "817-641-2272",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Old Betsy Dental Implants and Dentures",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Keene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.