Benton Family Dentistry LLC
Organization Active NPI General Practice Dentistry · Benton, LA
NPI 1821319476 · NPPES record last updated Jun 17, 2010
Key facts
- NPI
- 1821319476
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 5793 (LA)
- Legal business name
- BENTON FAMILY DENTISTRY LLC
- Practice address
- 192 Burt Blvd
Benton, LA 71006-4900 - Phone
- (318) 965-2424
- Fax
- (318) 965-0943
- NPI assigned
- Jun 17, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Misty Crump, D.D.S.
- Title
- Dentist
- Phone
- (318) 965-2424
Practitioners 2
-
Misty McCurry Crump, D.D.S.
National Provider Directory
Locations
192 Burt Blvd
Benton, LA 71006
Phone (318) 965-2424
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 5793 | LA | Yes |
Addresses
Primary practice location
192 Burt Blvd
Benton, LA 71006-4900
Mailing address
PO Box 427
Benton, LA 71006-0427
Phone (318) 965-2424
Other providers in Benton, LA
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All providers in Benton, LA · General Practice Dentistry in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.