DR TRACY C BENTON DDS APDC (NPI# 1366581886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366581886 |
| Entity Type | Organization |
| Organization Name | DR TRACY C BENTON DDS APDC |
| Practice Address |
1310 South Range Ave Denham Springs LA 70726 |
| Mailing Address |
Po Box 952 Denham Springs LA 70727-0952 |
| Practice Telephone | 2256640040 |
| Mailing Telephone | 2256640040 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2014-02-25 |
| Authorized Official Name | DR. TRACY CLARK BENTON JR. (PRESIDENT) |
| Authorized Official Telephone | 2256640040 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3057 | LA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1830577 | 05 |
| Street Address |
1310 SOUTH RANGE AVE |
| City | DENHAM SPRINGS |
| State | LA |
| Zip Code | 70726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801402433 | Hiv/aids Alliance for Region Two, Inc. | Clinic/Center | 30789 N Range Avenue, Denham Springs, LA 70726 | 2020-09-18 |
| 1306456231 | Jinci Strahan | Registered Nurse | 24495 La-16, Denham Springs, LA 70726 | 2020-08-05 |
| 1568085058 | Bailey Brumley | Case Manager/Care Coordinator | 106 Business Park Ave, Denham Springs, LA 70726 | 2020-05-19 |
| 1518527977 | Papa's Farmacia Via Luzianna LLC | Pharmacy | 25831 Walker South Rd Ste 1, Denham Springs, LA 70726 | 2019-06-18 |
| 1265995807 | Michael Jacob Efferson | Counselor | 303 Veteran Blvd, Denham Springs, LA 70726 | 2019-04-10 |
| 1477031524 | Melissa Sepeda | Social Worker | 1110 South Range Ave, Denham Springs, LA 70726 | 2018-07-31 |
| 1215420633 | Tiffany Summers | Counselor | 30826 Linder Road, Denham Springs, LA 70726 | 2018-06-11 |
| 1588194377 | Kenneth Joseph Williams | Counselor | 26055 Burlwood Ave., Denham Springs, LA 70726 | 2017-06-14 |
| 1780130369 | Bonnie Pettyjohn | Counselor | 25560 Oak Hill Rd, Denham Springs, LA 70726 | 2016-09-01 |
| 1053769794 | Southeast Community Health Systems | Clinic/Center | 25753 Walker Road South, Denham Springs, LA 70726 | 2016-06-02 |
| Find all providers in zip 70726 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245876630 | Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De | Dentist | 27686 Juban Rd, Denham Springs, LA 70726-8072 | 2019-11-21 |
| 1013368166 | Steve Hu | Dentist | 130 S Hummell St, Denham Springs, LA 70726-3437 | 2016-06-29 |
| 1053512467 | Dr. Douglas D. Strickland and Associates | Dentist | 610 N Range Ave, Denham Springs, LA 70726-2934 | 2007-05-31 |
| 1497971592 | Michael S Sceroler | Dentist | 8050 Watson Circle, Denham Springs, LA 70706 | 2007-04-17 |
| 1235269069 | Frederick Porter Beringer | Dentist | 703 S Range Ave, Denham Springs, LA 70726-4414 | 2007-03-07 |
| 1154466258 | Clint N Sandefer | Dentist | 1291 Florida Ave Sw, Denham Springs, LA 70726-4635 | 2007-02-20 |
| 1669510939 | Ilan Orgad | Dentist | 34659 La Highway 16, Denham Springs, LA 70706-0667 | 2007-02-01 |
| 1598838070 | Amy P. Ferguson-lawrence | Dentist | 34287 La Highway 16, Denham Springs, LA 70706-0665 | 2006-11-15 |
| 1134200397 | Leanne Thune Smith | Dentist | 2281 S Range Ave, Denham Springs, LA 70726-5223 | 2006-10-17 |
| 1659382547 | Cleve T Brown | Dentist | 615 Williams St, Denham Springs, LA 70726-3630 | 2006-08-10 |
| Find all providers in DENHAM SPRINGS | ||||
| City | DENHAM SPRINGS |
| Zip Code | 70726 |
Please comment or provide details below to improve the information on DR TRACY C BENTON DDS APDC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.