DR. GARY LYNN BENNICOFF, D.D.S. - NPI NUMBER 1487782454
Provider Name: DR. GARY LYNN BENNICOFF, D.D.S.
NPI Number: 1487782454
Clasification: Dentist (1223G0001X)
Specialization: General Practice
1305 TATAMY RD
Phone Number: (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. The assigned NPI number for this provider is 1487782454 and is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business address is:
1305 TATAMY RD
Phone: (610) 252-2223
Fax: (610) 252-4099
The enumeration date for this NPI number is 3/1/2007 and was last updated on 9/2/2008.
Map - Location of Practice
||FADI KARAM DDS PLLC
||ALAN V DILSAVER DDS LTD
||DR. JOSEPH JUDE ARNONE, DMD
Dentist (Oral and Maxillofacial Pathology)
||DR. KARLA MICHELLE STANZ, DMD
||WILLIAM PENN DENTAL P.C.
Dentist (General Practice)
||DR. KENNETH CHIUSANO
||DR. LUCAS ENRIQUE MANTILLA, D.M.D.
Dentist (General Practice)
The following information regarding the scope of practice of this provider is available:
||The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
||Entity Type Code
||Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual
human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
||Provider Last Name Legal Name
||The last name of the provider. If the provider is an individual, this is the legal name.
||Provider First Name
||The first name of the provider, if the provider
is an individual.
||Provider Middle Name
||The middle name of the provider, if the provider
is an individual.
||Provider Name Prefix Text
||The name prefix or salutation of the provider
if the provider is an individual; for example, Mr., Mrs., or Corporal.
||Provider Credential Text
||The abbreviations for professional degrees or credentials used or held by the provider,
if the provider is an individual. Examples
are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations
will not be verified by NPS.
||Provider First Line Business Practice Location Address
||1305 TATAMY RD
||The first line location address of the provider
being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
||Provider Business Practice Location Address City Name
||The city name in the location address of the provider being identified.
||Provider Business Practice Location Address State Name
||The State code in the location of the provider
||Provider Business Practice Location Address Postal Code
||The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
||Provider Business Practice Location Address Country Code If outside U S
||The country code in the location address of the provider being identified.
||Provider Business Practice Location Address Telephone Number
||The telephone number associated with the location address of the provider being identified.
||Provider Business Practice Location Address Fax Number
||The fax number associated with the location
address of the provider being identified.
||Provider Enumeration Date
||The date the provider was assigned a unique identifier (assigned an NPI).
||Last Update Date
||The date that a record was last updated or changed.
||Provider Gender Code
||The code designating the provider’s gender if the provider is a person.
||Healthcare Provider Taxonomy Code 1
||Code designating the provider type, classification,
and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
||Provider License Number 1
||The license number issued to the provider being identified. The NPS can accommodate
multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
||Provider License Number State Code 1
||The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
||Healthcare Provider Primary Taxonomy Switch 1
||Is Sole Proprietor
||Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No
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This page was last updated on: 3/10/2015
(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule
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