Most Relevant Information
Provider Data
| NPI Number: | 1003280124 |
| Provider Name: | HAYWARD BENTON DRANE DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223X0400X |
| Specialty: | Dentist |
| License Number: | DS039262 |
Most Important Dates
| Enumeration Date: | 12/01/2015 |
| Last Updated: | 08/30/2022 |
Provider Practice Location
1 CHESLEY DRIVE
CLUSTERS UNIT
MEDIA
PA
19063
Practice Location Phone/Fax
| Phone: | 6105666649 |
| Fax: | 6105666740 |
Provider Mailing Location
1 CHESLEY DRIVE
CLUSTERS UNIT
MEDIA
PA
19063
Provider Mailing Phone/Fax
| Phone: | 6105666649 |
| Fax: | 6105666740 |