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DR. GARY LYNN BENNICOFF D.D.S. NPI 1487782454

NPI Profile

NPI: 1487782454

Provider Name: DR. GARY LYNN BENNICOFF, D.D.S.

Classification: Dentist - 1223G0001X

Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
1305 TATAMY RD
EASTON, PA
ZIP 18045

Phone: (610) 252-2223

DR. Gary Lynn Bennicoff, D.D.S. is a general practice dentist in Easton, PA. The provider is 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. DR. Gary Lynn Bennicoff, D.D.S. NPI is 1487782454. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1305 TATAMY RD
EASTON, PA
ZIP 18045-474
Phone: (610) 252-2223
Fax: (610) 252-4099

The NPI 1487782454 is registered in the Medicare Provider, Enrollment, Chain and Ownership System PECOS.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 9/2/2008.

Map - Location of Practice

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
1 1223G0001X Dentist General Practice DS024212-L PENNSYLVANIA Yes

What is NPI?
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 8/11/2015