Most Relevant Information
Provider Data
| NPI Number: | 1003830134 |
| Provider Name: | BENJAMIN ALAN CRUNK DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 4004 |
Most Important Dates
| Enumeration Date: | 07/26/2006 |
| Last Updated: | 07/12/2007 |
Provider Practice Location
980 MAIN ST
MONTEVALLO
AL
351153847
Practice Location Phone/Fax
| Phone: | 2056652031 |
| Fax: | 2056655560 |
Provider Mailing Location
980 MAIN ST
MONTEVALLO
AL
351153847
Provider Mailing Phone/Fax
| Phone: | 2056652031 |
| Fax: | 2056655560 |