Provider Demographics
NPI:1043535727
Name:DR. B. KYLE BENTON, DDS, PA
Entity type:Organization
Organization Name:DR. B. KYLE BENTON, DDS, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:KYLE
Authorized Official - Last Name:BENTON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:479-265-1400
Mailing Address - Street 1:2220 MALVERN AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901-8038
Mailing Address - Country:US
Mailing Address - Phone:501-623-6132
Mailing Address - Fax:
Practice Address - Street 1:201 N 34TH ST
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-0352
Practice Address - Country:US
Practice Address - Phone:479-265-1400
Practice Address - Fax:479-265-1400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-06
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR37161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty