Benton Dental Associates

NPI #1679737621 in Benton, Arkansas

Provider Information

NPI Number: 1679737621
Entity Type: Organization
Organization Name: Benton Dental Associates
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 17, 2008
Last Updated: Aug 21, 2008

Practice Location

Address: 425 HWY 5 NORTH
City: Benton
State: Arkansas
ZIP Code: 72019
Phone: (501) 375-3145

Authorized Official

Name: DR. JUSTIN C. BETHEL, DDS
Title: DENTIST
Phone: (501) 375-3145

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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