Organization
BENJAMIN A. CRUNK, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN ALAN CRUNK DDS (OWNER)
(205) 665-2031
Entity
Organization
Contact information
Practice address
980 MAIN ST, MONTEVALLO, AL 35115-3846
(205) 665-2031
(205) 665-5560
Mailing address
980 MAIN ST, MONTEVALLO, AL 35115-3846
(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
06/23/2008
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