NPI 1477705630

Shannon Trenay Benjamin, RDH

Practitioner Dental Hygienist Barksdale Afb, LA

Practice location

Address: 1067 Twining Dr, Barksdale Afb, LA 71110-2486
Phone: (318) 456-6775
Mailing address: 4147 Calderwood Dr, Shreveport, LA 71119-7623

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 4022 (LA)

Other Dental Hygienist providers in Louisiana →

Registry record

NPI: 1477705630
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Oct 2008
Record last updated: 21 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.