PROVISA 4815-836
GUDID 00366975001108
PROVISA +10 TEMP C&B 50ML BLCH
BENCO DENTAL SUPPLY CO.
Dental crown/bridge resin, temporary Temporary dental crown/bridge resin Temporary dental crown/bridge resin Temporary dental crown/bridge resin Temporary dental crown/bridge resin Temporary dental crown/bridge resin Temporary dental crown/bridge resin Temporary dental crown/bridge resin Temporary dental crown/bridge resin Temporary dental crown/bridge resin Temporary dental crown/bridge resin Temporary dental crown/bridge resin Temporary dental crown/bridge resin Temporary dental crown/bridge resin Temporary dental crown/bridge resin Temporary dental crown/bridge resin Temporary dental crown/bridge resin| Primary Device ID | 00366975001108 |
| NIH Device Record Key | 6f4229f3-7111-4b5d-b247-17be35b406b1 |
| Commercial Distribution Status | In Commercial Distribution |
| Brand Name | PROVISA |
| Version Model Number | 4815-836 |
| Catalog Number | 4815-836 |
| Company DUNS | 015108087 |
| Company Name | BENCO DENTAL SUPPLY CO. |
| Device Count | 1 |
| DM Exempt | false |
| Pre-market Exempt | false |
| MRI Safety Status | Labeling does not contain MRI Safety Information |
| Human Cell/Tissue Product | false |
| Device Kit | false |
| Device Combination Product | false |
| Single Use | false |
| Lot Batch | true |
| Serial Number | false |
| Manufacturing Date | true |
| Expiration Date | true |
| Donation Id Number | false |
| Contains Natural Rubber Latex | false |
| Labeled No Natural Rubber Latex | false |
| RX Perscription | true |
| OTC Over-The-Counter | false |
Customer Support Contacts
| Phone | 570-602-6924 |
| jsoroka@benco.com | |
| Phone | 570-602-6924 |
| jsoroka@benco.com | |
| Phone | 570-602-6924 |
| jsoroka@benco.com | |
| Phone | 570-602-6924 |
| jsoroka@benco.com | |
| Phone | 570-602-6924 |
| jsoroka@benco.com | |
| Phone | 570-602-6924 |
| jsoroka@benco.com | |
| Phone | 570-602-6924 |
| jsoroka@benco.com | |
| Phone | 570-602-6924 |
| jsoroka@benco.com | |
| Phone | 570-602-6924 |
| jsoroka@benco.com | |
| Phone | 570-602-6924 |
| jsoroka@benco.com | |
| Phone | 570-602-6924 |
| jsoroka@benco.com | |
| Phone | 570-602-6924 |
| jsoroka@benco.com | |
| Phone | 570-602-6924 |
| jsoroka@benco.com | |
| Phone | 570-602-6924 |
| jsoroka@benco.com | |
| Phone | 570-602-6924 |
| jsoroka@benco.com | |
| Phone | 570-602-6924 |
| jsoroka@benco.com | |
| Phone | 570-602-6924 |
| jsoroka@benco.com |
Operating and Storage Conditions
| Storage Environment Temperature | Between 45 Degrees Fahrenheit and 74 Degrees Fahrenheit |
| Storage Environment Temperature | Between 45 Degrees Fahrenheit and 74 Degrees Fahrenheit |
| Storage Environment Temperature | Between 45 Degrees Fahrenheit and 74 Degrees Fahrenheit |
| Storage Environment Temperature | Between 45 Degrees Fahrenheit and 74 Degrees Fahrenheit |
| Storage Environment Temperature | Between 45 Degrees Fahrenheit and 74 Degrees Fahrenheit |
| Storage Environment Temperature | Between 45 Degrees Fahrenheit and 74 Degrees Fahrenheit |
| Storage Environment Temperature | Between 45 Degrees Fahrenheit and 74 Degrees Fahrenheit |
| Storage Environment Temperature | Between 45 Degrees Fahrenheit and 74 Degrees Fahrenheit |
| Storage Environment Temperature | Between 45 Degrees Fahrenheit and 74 Degrees Fahrenheit |
| Storage Environment Temperature | Between 45 Degrees Fahrenheit and 74 Degrees Fahrenheit |
| Storage Environment Temperature | Between 45 Degrees Fahrenheit and 74 Degrees Fahrenheit |
| Storage Environment Temperature | Between 45 Degrees Fahrenheit and 74 Degrees Fahrenheit |
| Storage Environment Temperature | Between 45 Degrees Fahrenheit and 74 Degrees Fahrenheit |
| Storage Environment Temperature | Between 45 Degrees Fahrenheit and 74 Degrees Fahrenheit |
| Storage Environment Temperature | Between 45 Degrees Fahrenheit and 74 Degrees Fahrenheit |
| Storage Environment Temperature | Between 45 Degrees Fahrenheit and 74 Degrees Fahrenheit |
| Storage Environment Temperature | Between 45 Degrees Fahrenheit and 74 Degrees Fahrenheit |
Device Identifiers
| Device Issuing Agency | Device ID |
|---|---|
| GS1 | 00366975001108 [Primary] |
FDA Product Code
| EBG | Crown And Bridge, Temporary, Resin |
Sterilization
| Steralize Prior To Use | false |
| Device Is Sterile | false |
Device Entry Metadata
| Public Version Status | Update |
| Device Record Status | Published |
| Public Version Number | 2 |
| Public Version Date | 2018-03-29 |
| Device Publish Date | 2016-09-24 |
On-Brand Devices [PROVISA]
| 00366975025951 | Provisa™ C&B 10:1 Mix Tip Refill Pack of 25 |
| 00366975025869 | Provisa™ Temporary Cement Mixing Tips Pack of 20 |
| 00366975001139 | Provisa Temp Cement Syr 2x5ml |
| 00366975001122 | Provisa Temp Cement Syr 1x5ml |
| 00366975001108 | PROVISA +10 TEMP C&B 50ML BLCH |
| 00366975001092 | PROVISA +10 TEMP C&B 50ML B1 |
| 00366975001085 | PROVISA +10 TEMP C&B 50ML A3.5 |
| 00366975001078 | PROVISA +10 TEMP C&B 50ML A3 |
| 00366975001061 | PROVISA +10 TEMP C&B 50ML A2 |
| 00366975001054 | PROVISA +10 TEMP C&B 50ML A1 |
| D74443751880 | PROVISA+ C&B TEMP 4:1 BL KT |
| D74443751600 | PROVISA+ C&B TEMP 4:1 B1 KT |
| D74443751510 | PROVISA+ C&B TEMP 4:1 A3.5 KT |
| D74443751420 | PROVISA+ C&B TEMP 4:1 A3 KT |
| D74443751330 | PROVISA+ C&B TEMP 4:1 A2 KT |
| D74443751150 | PROVISA+ C&B TEMP 4:1 A1 KT |
Trademark Results [PROVISA]
Mark Image Registration | Serial | Company Trademark Application Date |
|---|---|
 PROVISA 86151555 4651722 Live/Registered |
Milford Holding Company 2013-12-23 |
 PROVISA 74312309 1871826 Dead/Cancelled |
LANNER GROUP LIMITED 1992-09-09 |
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