# BENSON & BENSON FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235403791
- **Authorized official:** DR. MARY H BENSON DMD (PARTNER)
- **Authorized official phone:** (270) 563-4819

## Contact information

- **Practice address:** 148 VINCENT ST, SMITHS GROVE, KY 42171
- **Practice address phone:** (270) 563-4706
- **Practice address fax:** (270) 563-4819
- **Mailing address:** PO BOX 370, SMITHS GROVE, KY 42171-0370
- **Mailing address phone:** (270) 563-4706
- **Mailing address fax:** (270) 563-4819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4850 | KY | Yes |

## Other

- **Enumeration date:** 03/01/2012
- **Last updated:** 03/01/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 60048493 | — | KY |
| 05 | — | 60048501 | — | KY |
