Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brock Benson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205685047

Brock Benson is a Student in an Organized Health Care Education/Training Program in Tupelo, Mississippi. Licensed in Mississippi. Registered with an NPI since 2024.

Licensed in
MS
In the registry since
2024
Specialties on file
2

Practice location Address checks out

3999 N Gloster St Ste D
Tupelo, MS 38804-0950
Phone: (662) 778-2002
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 4447-24 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1205685047
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 14, 2024
Last updated in NPPESJune 12, 2024
Certification dateJune 12, 2024
Mailing address42014 Camino Casana, Temecula, CA 92592-6359

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