Individual
DR. BENJAMIN EDWARD DEHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1825 F S HILL DR, GRENADA, MS 38901-5003
(662) 226-6607
(662) 226-6615
Mailing address
1825 F S HILL DR, GRENADA, MS 38901-5003
(662) 226-6607
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3601-11
MS
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
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