Brock Benson

NPI 1205685047 · on the registry since 2024

Practice

Address: 3999 N Gloster St Ste D
Tupelo, MS 38804
Phone: (662) 778-2002
Organisation at this address: Dr Scott Dickinson D.M. D. Pc
Park Dental Group - Tupelo Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Also registered as: 390200000X
Licence states on file: MS
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-06-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi