MEDICARE: DR. ARTHUR S BENSON DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	17851	OH

General Provider Information

NPI Number	:	1972531515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARTHUR S BENSON DDS

Provider Business Mailing Address
First Line	:	4398 WESTVIEW DR
Second Line	:
City	:	COPLEY
State	:	OH
Zip	:	44321-1239
Country	:	US
Telephone Number	:	330-665-1430
Fax Number	:

Provider Business Practice Location Address
First Line	:	3618 W MARKET ST
Second Line	:	STE. 101
City	:	FAIRLAWN
State	:	OH
Zip	:	44333-2425
Country	:	US
Telephone Number	:	330-666-8757
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	07/08/2007

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