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General NPI Number Information
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NPI Number | 1760420319
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Entity Type | Organization
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Legal Business Name | MORGAN & BENTSEN DDS PA
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 532 N ELAM AVE
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City | GREENSBORO
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State | NC
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Zip | 27403-1146
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Country | US
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Telephone | 336-292-4331
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Fax | 336-316-7022
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Provider Business Mailing Address
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Address Line | 532 N ELAM AVE
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City | GREENSBORO
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State | NC
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Zip | 27403-1146
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Country | US
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Telephone | 336-292-4331
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Fax | 336-316-7022
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Authorized Official
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Title or Position | PARTNER
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Name | DR. LEE J BENTSEN
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Credential | DDS
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Telephone | 336-292-4331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4933
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License Number State | NC
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