Provider Demographics
NPI:1649481938
Name:DEHNER, BENJAMIN LAWRNECE (MD)
Entity type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:LAWRNECE
Last Name:DEHNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 23RD AVE N STE 202
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1525
Mailing Address - Country:US
Mailing Address - Phone:615-270-8060
Mailing Address - Fax:615-628-1344
Practice Address - Street 1:2201 MURPHY AVE STE 203
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1926
Practice Address - Country:US
Practice Address - Phone:615-270-8060
Practice Address - Fax:615-269-3408
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000046101208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ019467Medicaid