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DR. JOHN B BENTON DDS

Orthodontics and Dentofacial Orthopedics >> Dentist >> Dental Providers

Registrant NPI Number: 1356432868

Individual Registrant:
DR. JOHN B BENTON DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1703 LEIGHTON AVENUE  ANNISTON, AL 36207 US
Tel: 256-237-1537  Fax: 256-235-3994

Contact information for business:
1703 LEIGHTON AVENUE  ANNISTON, AL 36207 US
Tel: 256-237-1537  Fax: 256-235-3994

Registration Information:
NPI: 1356432868
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223X0400XDental Providers
Dentist
Orthodontics and Dentofacial Orthopedics
AL3826

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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