Dr Tracy C Benton Dds Apdc
LBN: Dr Tracy C Benton Dds Apdc
Dr Tracy C Benton Dds Apdc is an health care organization with primary practice located at 1310 South Range Ave , Denham Springs LA 70726. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Dr Tracy C Benton Dds Apdc can be contacted via phone (225) 664-0040, or through Benton, Tracy Clark via phone (225) 664-0040.
Contact Information
Primary practice address
1310 South Range Ave
Denham Springs LA 70726
Phone: (225) 664-0040
Fax:
Website:
Authorized official contact:
Name: Benton, Tracy Clark Doctor of Dental Surgery (DDS)
Phone: (225) 664-0040
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3057 | Louisiana |
Profile Details
| NPI number | 1366581886 |
|---|---|
| LBN Legal business name | Dr Tracy C Benton Dds Apdc |
| DBA Doing business as | |
| Authorized official | Benton, Tracy Clark Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Feb 25th, 2014 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366581886 | NPPES |
| Louisiana | MEDICAID | 1830577 |
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