| NPI | 1770011082 |
|---|---|
| Former Legal Business Name | JOHN B BENTON JR DDS PC |
| Entity Type | Organization |
| Authorized Contact | JORDAN BARRY BENTON Doctor/ Owner 256-239-5406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AL 0006122-C) |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2022-07-21 |