HENSON AND BIDGOLY LLLP NPI 1790905784

NPI Information

  • NPI: 1790905784
  • Provider Name: HENSON AND BIDGOLY LLLP
  • Classification: Dentist - 1223P0700X
  • Specialization: Prosthodontics
  • Entity Type: Organization
  • :
  • Address: 175 DECATUR RD
    MCDONOUGH, GA
    ZIP 30253
  • Phone: (770) 957-9113

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NPI Details

HENSON AND BIDGOLY LLLP is a prosthodontics dentist in Mcdonough, GA. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. HENSON AND BIDGOLY LLLP NPI is 1790905784. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider .

The provider's business location address is:

175 DECATUR RD
MCDONOUGH, GA
ZIP 30253-025
Phone: (770) 957-9113
Fax: (770) 957-7341

The provider's authorized official is Ben B Bidgoly .
The authorized official title is Dentist and has the following contact phone number (770) 957-3506.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice11535GEORGIANo
21223P0700XDentistProsthodontics7434GEORGIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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