Most Relevant Information
Provider Data
| NPI Number: | 1003449224 |
| Provider Name: | BENJAMIN REX HARRISON DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | DN24897 |
Most Important Dates
| Enumeration Date: | 02/17/2020 |
| Last Updated: | 11/30/2021 |
Provider Practice Location
1012 W 11TH ST
PANAMA CITY
FL
324012042
Practice Location Phone/Fax
| Phone: | 8508191045 |
| Fax: |
Provider Mailing Location
337 BUNKERS COVE RD
PANAMA CITY
FL
324013911
Provider Mailing Phone/Fax
| Phone: | 8508191045 |
| Fax: |