Individual
JOHN STEPHEN BENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
180 MACON AVE, JACKSON, GA 30233-2632
(770) 820-5822
(678) 752-0080
Mailing address
180 MACON AVE, JACKSON, GA 30233-2632
(770) 820-5822
(678) 752-0080
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN009672
GA
Other
Enumeration date
02/27/2007
Last updated
06/18/2009
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