Individual
DR. BENJAMIN ALAN CRUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
980 MAIN ST, MONTEVALLO, AL 35115-3847
(205) 665-2031
(205) 665-5560
Mailing address
980 MAIN ST, MONTEVALLO, AL 35115-3847
(205) 665-2031
(205) 665-5560
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4004
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-03995
BC/BS OF AL PROVIDER #
AL
Enumeration date
07/26/2006
Last updated
07/12/2007
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