Danette  D  Bentley    MD
Contract Details
Bentley Dermatology & Skin Wellness
Facility name
Provider ID
P000000122
NPI
1407060056
Tax ID
841721113
Effective Date
1/1/1996
Last Updated
11/21/2011
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
5295 Perserve Pkwy Suite 260
Hoover, AL 35244
United States
County
Jefferson
Phone
2056828022 (Phone)
Billing Details
Address
Specialty Type
Dermatology
Map
Address