Bartley Howell Benson, DDS
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Mount Juliet, TN
NPI 1891967386 · NPPES record last updated Mar 25, 2008
Key facts
- NPI
- 1891967386
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- DS4639 (TN)
- Practice address
- 11462 Lebanon Rd
Mount Juliet, TN 37122 - Phone
- (615) 553-5140
- Fax
- (615) 553-5144
- NPI assigned
- Mar 25, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS4639 | TN | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DS4639 | TN | Yes |
Addresses
Primary practice location
11462 Lebanon Rd
Mount Juliet, TN 37122
Mailing address
PO Box 2640
Lebanon, TN 37088
Phone (615) 553-5140
Other providers in Mount Juliet, TN
- Beckwith Emergency Physician PLLC
- Victoria Addison Bell
- Bella Wigs and Boutique
- Michael James Belsante
- Zachary D Benner
- Jarred Benson
- Taylor Benson
- Zachary Berry
- Best Life Healthcare, PLLC
- Bez Transport LLC
All providers in Mount Juliet, TN · Orthodontics and Dentofacial Orthopedics Dentistry in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.