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Individual

BENJAMIN JAMES FIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1817 W MAIN ST, SUITE 2, DOTHAN, AL 36301
(334) 792-4630
(334) 712-0190
Mailing address
1817 W MAIN ST, SUITE 2, DOTHAN, AL 36301
(334) 792-4630
(334) 712-0190

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5376
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009997465
AL
Enumeration date
10/11/2006
Last updated
03/07/2023
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