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General NPI Number Information
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NPI Number | 1942402326
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Entity Type | Organization
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Legal Business Name | BARTLEY H BENSON DDS MS PC
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4243 LEBANON RD SUITE C
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City | HERMITAGE
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State | TN
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Zip | 37076
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Country | US
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Telephone | 615-885-1349
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Fax | 615-871-0726
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Provider Business Mailing Address
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Address Line | PO BOX 8
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City | HERMITAGE
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State | TN
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Zip | 37076
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Country | US
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Telephone | 615-885-1349
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Fax | 615-871-0726
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Authorized Official
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Title or Position | ORTHODONTIST PRESIDENT
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Name | DR. BARTLEY HOWELL BENSON
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Credential | DDS MS
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Telephone | 615-885-1349
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DS0000004639
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License Number State | TN
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