Organization
NATHANIEL JON BENT DDS PA
Active
Other names
Barksdale Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHANIEL JON BENT DDS (PRESIDENT)
(443) 756-1513
Entity
Organization
Contact information
Practice address
625 BARKSDALE RD, SUITE 115-117, NEWARK, DE 19711-4535
(302) 731-4907
(302) 731-4932
Mailing address
1907 SHALLCROSS AVE, WILMINGTON, DE 19806-2325
(443) 756-1513
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
G1-0001205
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336209261
—
DE
Enumeration date
09/22/2014
Last updated
09/22/2014
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