Organization
BENSON & BENSON FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY H BENSON DMD (PARTNER)
(270) 563-4819
Entity
Organization
Contact information
Practice address
148 VINCENT ST, SMITHS GROVE, KY 42171
(270) 563-4706
(270) 563-4819
Mailing address
PO BOX 370, SMITHS GROVE, KY 42171-0370
(270) 563-4706
(270) 563-4819
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4850
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60048493
—
KY
05
—
60048501
—
KY
Enumeration date
03/01/2012
Last updated
03/01/2012
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