Benson & Benson Family Dentistry | |
148 Vincent St Smiths Grove KY 42171 | |
(270) 563-4706 | |
(270) 563-4819 |
Full Name | Benson & Benson Family Dentistry |
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Speciality | Dentist - General Practice |
Location | 148 Vincent St, Smiths Grove, Kentucky |
Authorized Official Name and Position | Mary H Benson (PARTNER) |
Authorized Official Contact | 2705634819 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Benson & Benson Family Dentistry Po Box 370 Smiths Grove KY 42171-0370 Ph: (270) 563-4706 | Benson & Benson Family Dentistry 148 Vincent St Smiths Grove KY 42171 Ph: (270) 563-4706 |
NPI Number | 1235403791 |
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Provider Enumeration Date | 03/01/2012 |
Last Update Date | 03/01/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235403791 | NPI | - | NPPES |
60048501 | Medicaid | KY | |
60048493 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 4850 (Kentucky) | Primary |
Smiths Grove Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 148 Vincent St, Smiths Grove, KY 42171 Phone: 270-563-4819 Fax: 270-563-0088 |