National Provider Identifier Database

BENTON FAMILY DENTAL PC
Dental


Contact Information

BENTON FAMILY DENTAL PC
3299 CLEAR VISTA CT NE, STE A
GRAND RAPIDS, MI49525
Phone: 616-361-0654
Fax: 616-361-9823
Website:
Specialty Taxonomy Code
* Dental 261QD0000X

* Indicates primary specialty

NPI Profile & details for BENTON FAMILY DENTAL PC

NPI Number 1699154153
Legal business name
LBN
BENTON FAMILY DENTAL PC
Authorized official STEPHANIE BENTON-LANGEJANS - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 05/29/2015
Last updated 02/29/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: 014521

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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