Organization
DESIGNER SMILES OF AL, INC.
Active
Other names
JOHN B BENTON JR DDS PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN BARRY BENTON DMD, MSD (DOCTOR/ OWNER)
(256) 239-5406
Entity
Organization
Contact information
Practice address
90 LARRY GARDNER DR, ANNISTON, AL 36207-3401
(256) 237-1537
Mailing address
90 LARRY GARDNER DR, ANNISTON, AL 36207-3401
(256) 237-1537
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0006122-C
AL
Other
Enumeration date
05/31/2017
Last updated
07/21/2022
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