# AB4, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Old Betsy Dental Sleep Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205767001
- **Authorized official:** BROCK BENNION DDS (MANAGING MEMBER)
- **Authorized official phone:** (817) 476-4537

## Contact information

- **Practice address:** 104 S OLD BETSY RD STE A, KEENE, TX 76059-2462
- **Practice address phone:** (817) 476-4537
- **Practice address fax:** (817) 476-4536
- **Mailing address:** 104 S OLD BETSY RD STE A, KEENE, TX 76059-2462
- **Mailing address phone:** (817) 476-4537
- **Mailing address fax:** (817) 476-4536

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/28/2026
- **Last updated:** 05/28/2026