BENTON FAMILY DENTISTRY LLC (NPI# 1821319476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821319476 |
| Entity Type | Organization |
| Organization Name | BENTON FAMILY DENTISTRY LLC |
| Practice Address |
192 Burt Blvd Benton LA 71006-4900 |
| Mailing Address |
Po Box 427 Benton LA 71006-0427 |
| Practice Telephone | 3189652424 |
| Practice Fax Number | 3189650943 |
| Mailing Telephone | 3189652424 |
| Mailing Fax Number | 3189650943 |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2010-06-17 |
| Authorized Official Name | DR. MISTY CRUMP (DENTIST) |
| Authorized Official Telephone | 3189652424 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5793 | LA | Dental Providers |
| Street Address |
192 BURT BLVD |
| City | BENTON |
| State | LA |
| Zip Code | 71006-4900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450517 | Just Health | Clinic/Center | 7076 La-3, Benton, LA 71006 | 2020-06-02 |
| 1982819678 | Robert Carroll Denmon | Pharmacist | 5604 Hwy 3, Freds Pharmacy # 1534, Benton, LA 71006 | 2007-05-14 |
| 1326174202 | David W Loftin | Pharmacist | 5604 Benton Rd, Benton, LA 71006 | 2007-02-26 |
| 1558478925 | Freds Stores of Tennessee Inc | Pharmacy | 5604 Hwy 3, Benton, LA 71006 | 2006-08-23 |
| 1861404683 | Rolling Rehab LLC | Physical Therapist | 115 Hunt Rd, Benton, LA 71006-3469 | 2006-08-12 |
| 1932327608 | Shanna D. Johnson | Physical Therapist | 115 Hunt Rd, Benton, LA 71006-3469 | 2007-04-20 |
| 1194134452 | Margaret B Rutledge | Social Worker | 2018 Pine Ridge Way, Benton, LA 71006-3488 | 2014-08-11 |
| 1942373410 | Brookshire Grocery Company | Pharmacy | 6280 Highway 3, Attention Pharmacy Dept, Benton, LA 71006-3492 | 2006-11-15 |
| 1669854253 | Dao B Kha | Pharmacist | 6280 Highway 3, Benton, LA 71006-3492 | 2015-06-19 |
| 1407101074 | Ryan Jones | Pharmacist | 6280 Highway 3, Benton, LA 71006-3492 | 2012-07-19 |
| Find all providers in zip 71006 | ||||
| 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 |
| 1679737621 | Benton Dental Associates | Dentist | 425 Hwy 5 North, Benton, AR 72019 | 2008-07-17 |
| 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 |
| 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.