DR. BENJAMIN MARK KACOS D.M.D. NPI 1700173069

NPI Information

DR. Benjamin Mark Kacos, D.M.D. is a general practice dentist in Shreveport, LA. 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. Benjamin Mark Kacos, D.M.D. NPI is 1700173069. 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:

3100 WOODLAWN AVE
SUITE C
SHREVEPORT, LA
ZIP 71104-637
Phone: (318) 868-8276
Fax: (318) 868-8212

The enumeration date for this NPI number is 7/6/2011 and was last updated on 7/6/2011.

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:

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