Mark Benavides D.D.S., P.C. in Ottawa - General Practice
Mark Benavides D.D.S., P.C. - NPI 1235201344
Mark Benavides D.D.S., P.C. is a General Practice in Ottawa, Illinois. Mark Benavides D.D.S., P.C. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mark Benavides D.D.S., P.C. is 1235201344. The last update date is 2013-12-17.
Mark Benavides D.D.S., P.C.'s current location address is 1703 Polaris Cir, Ottawa, Illinois. You can contact this provider via phone number 8154340152. The mailing address for Mark Benavides D.D.S., P.C. is 1703 Polaris Cir, Ottawa, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mark Benavides D.D.S., P.C. |
|---|---|
| Address | 1703 Polaris Cir, Ottawa, Illinois |
| Phone Number | 8154340152 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Benavides Mark |
| Credentials | D.D.S. |
| Telephone Number | 8154340152 |
NPI Number Detail
| NPI Number | 1235201344 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2013-12-17 |
Provider Mailing Address Detail
| Address | 1703 Polaris Cir |
|---|---|
| City | Ottawa |
| State | Illinois (IL) |
| Post Code | 613501683 |
| Phone Number | 8154340152 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 0019-20337 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the Mark Benavides D.D.S., P.C.'s unique identification number?
The Mark Benavides D.D.S., P.C. has been assigned the NPI (National Provider Identifier) Number 1235201344 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Mark Benavides D.D.S., P.C.'s physical address?
The Mark Benavides D.D.S., P.C. is physically located at 1703 Polaris Cir, in the city of Ottawa, IL, with the postal code 613501683.
What is the Mark Benavides D.D.S., P.C.'s area of specialization and corresponding taxonomy classification?
The Mark Benavides D.D.S., P.C.'s specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1235201344 to Mark Benavides D.D.S., P.C.?
The Mark Benavides D.D.S., P.C. received its 1235201344 assignment from the Centers for Medicare & Medicaid Services on 2006-11-14.
When was the information regarding Mark Benavides D.D.S., P.C., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mark Benavides D.D.S., P.C., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-12-17.