Provider Demographics
NPI:1104093509
Name:BENEFIELD, MARIA F (DMD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:F
Last Name:BENEFIELD
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 ABERNATHY RD NE
Mailing Address - Street 2:BUILDING 500 SUITE 1020
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-5620
Mailing Address - Country:US
Mailing Address - Phone:770-804-0616
Mailing Address - Fax:770-804-0520
Practice Address - Street 1:1100 ABERNATHY RD NE
Practice Address - Street 2:BUILDING 500 SUITE 1020
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-5620
Practice Address - Country:US
Practice Address - Phone:770-804-0616
Practice Address - Fax:770-804-0520
Is Sole Proprietor?:No
Enumeration Date:2008-05-14
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0127851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice