Provider Demographics
NPI:1962628776
Name:BENSON, FRANK P (DMD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:P
Last Name:BENSON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6105 PEACHTREE DUNWOODY RD
Mailing Address - Street 2:BUILDING C SUITE 245
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-5338
Mailing Address - Country:US
Mailing Address - Phone:770-394-0007
Mailing Address - Fax:770-394-7171
Practice Address - Street 1:6105 PEACHTREE DUNWOODY RD.
Practice Address - Street 2:BUILDING C SUITE 245
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328
Practice Address - Country:US
Practice Address - Phone:770-394-0007
Practice Address - Fax:770-394-7171
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA94001223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics