Provider Demographics
NPI:1952549834
Name:BENNINGTON, SCOTT G (DC)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:G
Last Name:BENNINGTON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:5430 PINNACLE POINT DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-1492
Mailing Address - Country:US
Mailing Address - Phone:479-268-6080
Mailing Address - Fax:479-268-6083
Practice Address - Street 1:5430 PINNACLE POINT DR
Practice Address - Street 2:SUITE 103
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-1492
Practice Address - Country:US
Practice Address - Phone:479-268-6080
Practice Address - Fax:479-268-6083
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-30
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AR15621111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor