Provider Demographics
NPI:1184995326
Name:BEN H HENSLEY FAMILY DENTISTRY
Entity type:Organization
Organization Name:BEN H HENSLEY FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HENSEY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:606-598-4094
Mailing Address - Street 1:269 WHITE ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:KY
Mailing Address - Zip Code:40962-1214
Mailing Address - Country:US
Mailing Address - Phone:606-598-4094
Mailing Address - Fax:606-598-7468
Practice Address - Street 1:269 WHITE ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:KY
Practice Address - Zip Code:40962-1214
Practice Address - Country:US
Practice Address - Phone:606-598-4094
Practice Address - Fax:606-598-7468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-19
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY65521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty