Benton Family Dentistry

LBN: Benton Family Dentistry
Benton Family Dentistry is an health care organization with primary practice located at 1200 Ferguson Dr Ste 4 , Benton AR 72015-2947. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Benton Family Dentistry can be contacted via phone (501) 317-7544, or through Bethel, Justin C via phone (501) 317-7544.

Contact Information

Primary practice address
1200 Ferguson Dr Ste 4 Benton AR 72015-2947
Phone: (501) 317-7544
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bethel, Justin C Doctor of Dental Surgery (DDS)
Phone: (501) 317-7544

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3339 Arkansas

Profile Details

NPI number 1134646698
LBN Legal business name Benton Family Dentistry
DBA Doing business as
Authorized official Bethel, Justin C Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2017
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134646698 NPPES
Arkansas MEDICAID 1861885515

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