Individual
KIMBERLY ANN BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2105 PRINCESS ANNE ROAD, SUITE 108, VIRGINIA BEACH, VA 23456
(757) 301-3945
Mailing address
2105 PRINCESS ANNE ROAD, SUITE 108, VIRGINIA BEACH, VA 23456
(757) 301-3945
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414818
VA
1223E0200X
Endodontics
Primary
2013018619
MO
1223E0200X
Endodontics
60988
KS
1223G0001X
General Practice Dentistry
60988
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201074540B
—
KS
Enumeration date
07/02/2013
Last updated
07/10/2026
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