MR. MARK LEON BENNETT (NPI# 1588776959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588776959 |
| Entity Type | Individual |
| Full Name | MR. MARK LEON BENNETT |
| Credential | DDS |
| Practice Address |
714 B South Madison Madisonville TX 77864 |
| Mailing Address |
Po Box 100 Madisonville TX 77864 |
| Practice Telephone | 9363485158 |
| Practice Fax Number | 9363485622 |
| Mailing Telephone | 9363485158 |
| Mailing Fax Number | 9363485622 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
17131 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 860580 | 01 |
| TX | 009325401 | 05 | |
| TX | UNITED CONCORDIA | 873570 | 01 |
| TX | CHIP | G6025601 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871912287 | Mark Bennett | Counselor | 829 27th St, San Diego, CA 92102-2710 | 2014-04-14 |
| 1811104771 | Mark Andrew Bennett | Chiropractor | Valley Plaza Rt. 7, Suite 4, Reedsville, WV 26547 | 2007-05-17 |
| 1528168952 | Mark David Bennett | Pharmacist | 206 North Charlotte Street, Pottstown, PA 19464 | 2006-09-25 |
| 1861467599 | Mark Daniel Bennett | Optometrist | 1839 Briargate Blvd, Colorado Springs, CO 80920-3470 | 2006-02-17 |
| 1255327623 | Mark Thomas Bennett | Chiropractor | 5031 E Orangethorpe Ave, Suite H, Anaheim, CA 92807-1131 | 2005-09-21 |
| 1073031340 | Mark Allen Bennett | Counselor | 166 Broadway, Bangor, ME 04401-5208 | 2017-09-06 |
| 1518403724 | Mark Andrew Bennett | Pharmacist | 1200 S Commerce Way, Brigham City, UT 84302-3117 | 2017-01-11 |
| 1871955435 | Mark Richard Bennett Jr. | Nurse Anesthetist, Certified Registered | 709 W Main St, Manchester, IA 52057-1526 | 2016-03-23 |
| 1245609817 | Mark Bennett | Nursing Care | 2766 W 11 Mile Rd Ste 2, Berkley, MI 48072-3033 | 2015-09-24 |
| 1306273784 | Mark Barry Bennett | Social Worker | 2275 W Broadway St, Ste G, Idaho Falls, ID 83402-2902 | 2013-10-01 |
| Street Address |
714 B SOUTH MADISON |
| City | MADISONVILLE |
| State | TX |
| Zip Code | 77864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457463820 | Mac L Bennett IIi Dds Inc | Dentist | 714 B South Madison, Madisonville, TX 77864 | 2006-08-31 |
| 1407968803 | Mac Leon Bennett IIi | Dentist | 714 B South Madison, Madisonville, TX 77864 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437429065 | Traditions Health Care of Madisonville, LLC | Home Health | 1608 East Main Street, Suite 115, Madisonville, TX 77864 | 2012-01-12 |
| 1568585982 | Michael Freeman Lee | Counselor | 404 N. May, Suite- C, Madisonville, TX 77864 | 2007-04-09 |
| 1659452654 | Kelly Elizabeth Morgan | Counselor | 813 South State Street, Ste. 100, Madisonville, TX 77864 | 2006-10-17 |
| 1720197437 | Grover Cleveland Hubley Jr. | Family Medicine | 813 South State Street Suite 100, Madisonville, TX 77864 | 2006-08-29 |
| 1619971348 | Robert Thomas Tieperman | Chiropractor | 604 South Madison, Madisonville, TX 77864 | 2005-06-10 |
| 1629321310 | Laquita Clewis | Counselor | 207 N Panama St, Madisonville, TX 77864-1546 | 2012-10-18 |
| 1497803407 | Walkers Pharmacy | Pharmacy | 112 W Main St, Madisonville, TX 77864-1905 | 2007-01-08 |
| 1679751002 | Kelle Dawn Harper | Nurse Practitioner | 220 W Trinity St, Madisonville, TX 77864-1914 | 2008-02-07 |
| 1790884013 | Brookshire Brothers Inc | Durable Medical Equipment & Medical Supplies | 810 S State St, Madisonville, TX 77864-1927 | 2006-09-22 |
| 1114988094 | Mary Helen Morrow | Family Medicine | 604 S Madison St, Madisonville, TX 77864-1956 | 2006-03-30 |
| Find all providers in zip 77864 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053799080 | Community Care of Kentucky, Inc | Dentist | 1175 S Main St Ste 4, Madisonville, KY 42431-3337 | 2015-05-11 |
| 1386801298 | Dr.thomas E. Drake | Dentist | 1519 Highway 22 W, Suite #3, Madisonville, LA 70447-9489 | 2008-05-19 |
| 1881811511 | John Alan Roy | Dentist | 1410 Pride Ave Ste C, Madisonville, KY 42431-9107 | 2007-04-20 |
| 1073632568 | Frank Joseph Ferrara II | Dentist | 301 Covington St., Madisonville, LA 70447 | 2007-03-28 |
| 1366592834 | Charles Bradley Foy Jr. | Dentist | 400 Pine St, Madisonville, LA 70447-9743 | 2007-01-10 |
| 1699856740 | George P. Franco Jr. Dds LLC | Dentist | 377 Hwy 21, Suite 102, Madisonville, LA 70447 | 2006-10-17 |
| 1457463820 | Mac L Bennett IIi Dds Inc | Dentist | 714 B South Madison, Madisonville, TX 77864 | 2006-08-31 |
| 1316955008 | Melinda Eiserloh Hickey | Dentist | 198 Hwy 21, Madisonville, LA 70447 | 2006-08-04 |
| 1255347266 | Laurie Leonard Miller | Dentist | 198 Highway 21, Madisonville, LA 70447-9674 | 2006-07-31 |
| 1407862626 | Randolph Thomas Travis | Dentist | 1400 Pride Avenue, Madisonville, KY 42431-9108 | 2006-07-31 |
| Find all providers in MADISONVILLE | ||||
| City | MADISONVILLE |
| Zip Code | 77864 |
Please comment or provide details below to improve the information on MR. MARK LEON BENNETT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.