Organization Active NPI

Henson and Bidgoly LLLP

  • Prosthodontics
  • McDonough, GA
National Provider Identifier
1790905784
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
7434 Issued in GA
Legal business name
HENSON AND BIDGOLY LLLP
Practice address
175 Decatur Rd
McDonough, GA 30253-2025
Phone
(770) 957-9113
Fax
(770) 957-7341
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ben B Bidgoly, DDS
Title
Dentist
Phone
(770) 957-3506

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 11535 GA
ProsthodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0700X 7434 GA Primary

Addresses

Primary practice location

175 Decatur Rd
McDonough, GA 30253-2025

Mailing address

175 Decatur Rd
McDonough, GA 30253-2025
Phone (770) 957-9113

Other names 1

  • Metro Dental Group Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1790905784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 DECATUR RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302532025",
            "telephone_number": "770-957-9113",
            "fax_number": "770-957-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 DECATUR RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302532025",
            "telephone_number": "770-957-9113",
            "fax_number": "770-957-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENSON AND BIDGOLY LLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BIDGOLY",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "770-957-3506",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "11535",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "GA",
            "license": "7434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.