Healthcare Provider Details

I. General information

NPI: 1346175692
Provider Name (Legal Business Name): KATHRYN BENSON DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHRYN PARSLEY

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 W CHERRY ST
NORTH LIBERTY IA
52317-9797
US

IV. Provider business mailing address

2302 WATER TOWER PL
NORTH LIBERTY IA
52317
US

V. Phone/Fax

Practice location:
  • Phone: 319-626-2300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number10468
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: