DR. JACQUELINE R BENNETT (NPI# 1194877530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194877530 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE R BENNETT |
| Credential | DDS |
| Practice Address |
8975 E Golf Links Rd Tucson AZ 85730-1318 |
| Practice Telephone | 5208866054 |
| Practice Fax Number | 5208866571 |
| Mailing Telephone | 5208866054 |
| Mailing Fax Number | 5208866571 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D4891 | AZ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UCCI TRICARE PROVIDER ID | 341230 | 01 | |
| AZ | 524795 | 05 | |
| PRACTICE NPI TYPE 2 NUMBE | 1750326849 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720492085 | Jacqueline Bennett | Registered Nurse | 2944 Tiemann Ave, Bronx, NY 10469-3322 | 2014-06-16 |
| 1316900889 | Jacqueline B Bennett | Psychologist | 1945 Robertson St., Fort Collins, CO 80524 | 2006-04-07 |
| 1932697141 | Jacqueline Nichole Bennett | Counselor | 780 Gregg St, Washington Court House, OH 43160-1564 | 2018-04-24 |
| 1912425190 | Jacqueline Bennett | Social Worker | 8400 W 110th St Ste 410, Overland Park, KS 66210-2307 | 2017-09-07 |
| 1962949214 | Jacqueline Bennett | Social Worker | 2003 E Nc Highway 54 Ste C, Durham, NC 27713-2483 | 2017-01-25 |
| 1558728279 | Jacqueline Bennett | Social Worker | 2960 Roosevelt Blvd, Clearwater, FL 33760-1952 | 2016-01-26 |
| 1780992206 | Jacqueline Hilda Bennett | Occupational Therapist | 4600 Bowling Blvd, Louisville, KY 40207 | 2010-09-17 |
| 1215175955 | Jacqueline May Bennett | Case Manager/Care Coordinator | 2413 2nd St, Eureka, CA 95501-0811 | 2009-02-03 |
| 1518122530 | Jacqueline Bennett | Counselor | 821 Howard Rd Se, Washington, DC 20020-5805 | 2008-07-21 |
| Street Address |
8975 E GOLF LINKS RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85730-1318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536922 | Michael Robert Hauer | Dentist | 8975 E Golf Links Rd, Tucson, AZ 85730-1318 | 2005-05-24 |
| 1386790046 | Norman Mark Rubin | Dentist | 8975 E Golf Links Rd, Tucson, AZ 85730-1318 | 2007-01-26 |
| 1568518207 | Emily B Yasmer | Dentist | 8975 E Golf Links Rd, Tucson, AZ 85730-1318 | 2007-01-26 |
| 1750326849 | Dental Care On Golf Links, Plc | Dentist | 8975 E Golf Links Rd, Tucson, AZ 85730-1318 | 2006-06-20 |
| 1043286925 | Eric Charles Hardy | Dentist | 8975 E Golf Links Rd, Tucson, AZ 85730-1318 | 2006-02-28 |
| 1013995703 | Jared J Kahl | Dentist | 8975 E Golf Links Rd, Tucson, AZ 85730-1318 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871019927 | Jacques Boubeka | Behavior Technician | 9047 E Mayberry Dr, Tucson, AZ 85730 | 2017-08-21 |
| 1801266556 | Jennifer Budd | Nurse Practitioner | 2435 N. Castro Avenue, Tucson, AZ 85730 | 2015-10-06 |
| 1285037648 | Eden Huang | Physician Assistant | 6950 E Golf Links, Tucson, AZ 85730 | 2014-09-30 |
| 1881002376 | Chisom P Umogbai | Optometrist | 7046 E Golf Links Rd, Tucson, AZ 85730 | 2014-07-28 |
| 1720490154 | Integrity Counseling Services, Plc | Counselor | 11092 E. Placita Cumbia, Tucson, AZ 85730 | 2014-05-20 |
| 1619399276 | Karla J. Gracia | Counselor | 8050 E. Lakeside Pkwy, Tucson, AZ 85730 | 2014-01-15 |
| 1780934505 | Kendrah Jordan Davis | Contractor | 3226 South Lakeside Drive, Tucson, AZ 85730 | 2012-09-19 |
| 1619287620 | Mukesh N Shah | Physician Assistant | 6455 E Nelson Dr, Tucson, AZ 85730 | 2010-10-12 |
| 1568770154 | Steven Fabian Wautlet | Pharmacist | 7771 E. Golf Links Road, Tucson, AZ 85730 | 2010-09-17 |
| 1033239942 | Franciso Garcia | Psychiatry & Neurology | 8050 East Lakeside Parkway, Cope Community Services, Inc., Tucson, AZ 85730 | 2007-04-02 |
| Find all providers in zip 85730 | ||||
| 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 |
|---|---|---|---|---|
| 1871191197 | Dentalpros, LLC | Dentist | 225 E Valencia Rd Ste 135, Tucson, AZ 85706-6866 | 2020-10-09 |
| 1457958928 | Eesha Katarya | Dentist | 1060 S Harrison Rd Ste 110, Tucson, AZ 85748-6603 | 2020-10-07 |
| 1285243907 | James Bryan Madril | Dentist | 1218 W Irvington Rd, Tucson, AZ 85714-1136 | 2020-07-28 |
| 1669026167 | Midvale Park Dental Partners LLC | Dentist | 1979 W Valencia Rd, Tucson, AZ 85746 | 2019-08-01 |
| 1366001430 | Carlos A Rodriguez | Dentist | 3208 E Fort Lowell Rd Ste 101, Tucson, AZ 85716-1625 | 2019-06-11 |
| 1619448859 | Marie Anne Robillard | Dentist | 1601 N Tucson Blvd Ste 24, Tucson, AZ 85716-3407 | 2018-12-16 |
| 1881180669 | Alexandra Trinidad Quiroz Martin | Dentist | 5445 N Kolb Rd Ste 205, Tucson, AZ 85750-0750 | 2018-07-05 |
| 1356871552 | Kirsten Linaker | Dentist | 2300 N Craycroft Rd Ste 3, Tucson, AZ 85712-2808 | 2017-06-19 |
| 1811427073 | Samip Patel | Dentist | 8160 S Houghton Rd Ste 130, Tucson, AZ 85747-9720 | 2017-06-19 |
| 1003353822 | Lenny W Arias Dds Pllc | Dentist | 4955 N Sabino Canyon Rd, Suite 103, Tucson, AZ 85750-6491 | 2017-01-31 |
| Find all providers in TUCSON | ||||
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| 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.