Individual
DR. JORDAN BARRY BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1703 LEIGHTON AVE, ANNISTON, AL 36207-3832
(256) 237-1537
Mailing address
1703 LEIGHTON AVE, ANNISTON, AL 36207-3832
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D.0006122-C1
AL
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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