Bethel Burris Oliver Pllc

NPI #1578661914 in Benton, Arkansas

Provider Information

NPI Number: 1578661914
Entity Type: Organization
Organization Name: Bethel Burris Oliver Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 20, 2006
Last Updated: Mar 19, 2015

Practice Location

Address: 407 HIGHWAY 5 N
City: Benton
State: Arkansas
ZIP Code: 72019-9778
Phone: (501) 315-3145

Authorized Official

Name: DR. BENJAMIN G BURRIS, DDS, MDS, PA
Title: OWNER
Phone: (479) 445-6335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X
Dentist - General Practice — General Practice	1223G0001X	Primary

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