# DR. GAIL V BENTON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1497747661
- **Gender:** F
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 3521-09 | MS | Yes |

## Other

- **Enumeration date:** 08/16/2005
- **Last updated:** 10/10/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1846066 | — | LA |
| 01 | — | 3521-09 | DENTAL LICENSE | MS |
| 05 | — | 9907750 | — | MS |