# C. BEN LENNON D.D.S., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548713712
- **Authorized official:** DR. CHARLES BEN LENNON D.D.S. (PRESIDENT)
- **Authorized official phone:** (804) 725-9485

## Contact information

- **Practice address:** 15613 GENERAL PULLER HWY, DELTAVILLE, VA 23043
- **Practice address phone:** (804) 779-9484
- **Practice address fax:** (804) 776-7487
- **Mailing address:** PO BOX 736, DELTAVILLE, VA 23043-0736
- **Mailing address phone:** (804) 776-9484
- **Mailing address fax:** (804) 776-7487

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 401007109 | VA | Yes |

## Other

- **Enumeration date:** 07/25/2016
- **Last updated:** 07/25/2016