DR. BEN MICHAEL KOOLICK DDS NPI 1104818467

NPI Information

  • NPI: 1104818467
  • Provider Name: DR. BEN MICHAEL KOOLICK, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 8390 W CACTUS RD STE 110
    PEORIA, AZ
    ZIP 85381
  • Phone: (623) 878-3300

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NPI Details

DR. Ben Michael Koolick, DDS is a general practice dentist in Peoria, AZ. 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. Ben Michael Koolick, DDS NPI is 1104818467. 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:

8390 W CACTUS RD STE 110
PEORIA, AZ
ZIP 85381-206
Phone: (623) 878-3300

The enumeration date for this NPI number is 8/22/2005 and was last updated on 4/3/2011.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeAZ6037ARIZONAYes

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: 3/30/2025

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