Provider Demographics
NPI:1124187059
Name:BENSON, GARY P (DDS MS)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:P
Last Name:BENSON
Suffix:
Gender:M
Credentials:DDS MS
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Mailing Address - Street 1:3200 CHERRY CREEK SOUTH DR
Mailing Address - Street 2:#420
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209
Mailing Address - Country:US
Mailing Address - Phone:303-722-1202
Mailing Address - Fax:303-722-0434
Practice Address - Street 1:3200 CHERRY CREEK SOUTH DR
Practice Address - Street 2:#420
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209
Practice Address - Country:US
Practice Address - Phone:303-722-1202
Practice Address - Fax:303-722-0434
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO75971223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics