Gail V Benton in Jackson - Pediatric Dentistry
Gail V Benton - NPI 1497747661
Gail V Benton is a Pediatric Dentistry in Jackson, Mississippi. Gail V Benton practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Gail V Benton is 1497747661. The last update date is 2016-10-10.
Gail V Benton's current location address is 4463 N State St, Jackson, Mississippi. You can contact this provider via phone number 6017142908. The mailing address for Gail V Benton is 4463 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gail V Benton |
|---|---|
| Address | 4463 N State St, Jackson, Mississippi |
| Phone Number | 6017142908 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1497747661 |
|---|---|
| Provider Enumeration Date | 2005-08-16 |
| Last Updated Date | 2016-10-10 |
Provider Mailing Address Detail
| Address | 4463 N State St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 39206 |
| Phone Number | 6017142908 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 3521-09 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3521-09 | MS | DENTAL LICENSE | |
| 9907750 | MS | -- | |
| 1846066 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Gail V Benton by the Centers for Medicare & Medicaid Services?
The Gail V Benton has been assigned the NPI (National Provider Identifier) 1497747661 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Gail V Benton located?
The Gail V Benton is located at 4463 N State St, Jackson, MS 39206.
What is Gail V Benton's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gail V Benton is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services issue the 1497747661 to Gail V Benton?
The Gail V Benton received its 1497747661 assignment from the Centers for Medicare & Medicaid Services on 2005-08-16.
As of what date was the information regarding Gail V Benton, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gail V Benton, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-10-10.