BENTON DENTAL ASSOCIATES (NPI# 1679737621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679737621 |
| Entity Type | Organization |
| Organization Name | BENTON DENTAL ASSOCIATES |
| Practice Address |
425 Hwy 5 North Benton AR 72019 |
| Practice Telephone | 5013753145 |
| Mailing Telephone | 5013753145 |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2008-08-21 |
| Authorized Official Name | DR. JUSTIN C. BETHEL (DENTIST) |
| Authorized Official Telephone | 5013753145 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 168714631 | 05 |
| Street Address |
425 HWY 5 NORTH |
| City | BENTON |
| State | AR |
| Zip Code | 72019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898293 | Arkansas Heart Hospital LLC | General Acute Care Hospital | 1901 Encore Way, Bryant, AR 72019 | 2020-10-16 |
| 1306485545 | Ryan Adams | Pharmacist | 20820 I-30 North, Benton, AR 72019 | 2020-01-06 |
| 1649819962 | Josh Landrum | Pharmacist | 20820 I 30 N, Benton, AR 72019 | 2020-01-03 |
| 1710525720 | Melanie Mabry | Nurse Practitioner | 11510 State Highway 298, Benton, AR 72019 | 2019-12-20 |
| 1578086864 | Ronald Winkler | Occupational Therapy Assistant | 2907 Hurricane Lake Rd, Bryant, AR 72019 | 2017-07-19 |
| 1801243357 | Richard Andrew Dwiggins | Social Worker | 1718 Old Hot Springs Highway, Benton, AR 72019 | 2016-05-14 |
| 1184008377 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 2080 I-30 North, Benton, AR 72019 | 2015-07-17 |
| 1689910051 | Rachel Cloud | Physical Therapist | 2010 Activeway, Benton, AR 72019 | 2012-12-12 |
| 1538444583 | Stacy Ann Harris | Specialist | 403 Demuth Lane, Benton, AR 72019 | 2011-10-20 |
| 1144528423 | Robert Mark Robinson | Licensed Practical Nurse | 5 Hickory Ridge Drive, Benton, AR 72019 | 2011-03-10 |
| Find all providers in zip 72019 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134646698 | Benton Family Dentistry | Dentist | 1200 Ferguson Dr Ste 4, Benton, AR 72015-2947 | 2017-08-25 |
| 1518494657 | Richard Moore I | Dentist | 2455 Cypress Village Dr, Benton, LA 71006-9119 | 2017-05-19 |
| 1104294487 | Chad Matone Dental Services, P.l.l.c. | Dentist | 216 E Carpenter St, Benton, AR 72015-3418 | 2015-09-03 |
| 1528348778 | Southeast Missouri Health Network | Dentist | 6724 Highway 77 E, Benton, MO 63736 | 2011-08-19 |
| 1700021292 | Scott Family Dentistry | Dentist | 716 W. South Street, Benton, AR 72015 | 2008-12-11 |
| 1538333208 | Barry Glenn Whitaker | Dentist | 2921 Us Highway 641 N, Benton, KY 42025-7480 | 2008-04-14 |
| 1225221567 | Brooke Janice Jeffus | Dentist | 407 Hwy 5 N, Benton, AR 72019-9778 | 2007-08-21 |
| 1760504229 | Howard Alan Levinson | Dentist | Uk Dentistry West Regional Clinic, 267 Slickback Rd, Benton, KY 42025-7629 | 2007-04-04 |
| 1912025578 | Michael David Crawford | Dentist | 4705 Palmetto Rd, Benton, LA 71006-9800 | 2007-03-26 |
| 1104951128 | Jerry Cendell Sells | Dentist | 1301 Olive St, Benton, KY 42025-1640 | 2007-02-22 |
| Find all providers in BENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.