Benton, Bryan
Benton, Bryan is an individual health care provider with primary practice located at 1000 Johnson Ferry Rd Bldg H , Marietta GA 30068-5518. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Benton, Bryan can be contacted via phone (770) 977-0364.Contact Information
Primary practice address
1000 Johnson Ferry Rd Bldg H
Marietta GA 30068-5518
Phone: (770) 977-0364
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DN015529 | Georgia |
Profile Details
| NPI number | 1861884124 |
|---|---|
| LBN Legal business name | Benton, Bryan |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2015 |
| Last updated | Aug 25th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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