MEDICARE: BENSON FAMILY DENTISTRY

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	AZ4044	AZ

General Provider Information

NPI Number	:	1841325131
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BENSON FAMILY DENTISTRY

Provider Business Mailing Address
First Line	:	1200 W WARNER RD
Second Line	:	SUITE #9
City	:	CHANDLER
State	:	AZ
Zip	:	85224-2758
Country	:	US
Telephone Number	:	480-814-8115
Fax Number	:	480-345-0422

Provider Business Practice Location Address
First Line	:	1200 W WARNER RD
Second Line	:	SUITE #9
City	:	CHANDLER
State	:	AZ
Zip	:	85224-2758
Country	:	US
Telephone Number	:	480-814-8115
Fax Number	:	480-345-0422

Authorized Official
Title or Position	:	OWNER
Name	:	DR. BRETT EDWARD BENSON
Credential	:	DDS
Telephone Number	:	480-814-8115

Provider Enumeration Date	:	02/23/2007
Last Update Date	:	08/22/2020

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Directions to “BENSON FAMILY DENTISTRY ” Practice Location

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