MARK A BENAGE (NPI# 1205186525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205186525 |
Entity Type | Individual |
Full Name | MARK A BENAGE |
Credential | DDS |
Practice Address |
5955 Zeamer Avenue 673d Mdg Jber AK 99506-3700 |
Practice Telephone | 9075805020 |
Mailing Telephone | 9075805020 |
Enumeration Date | 2012-09-13 |
Last Update Date | 2012-09-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 28116 | TX | Dental Providers |
Street Address |
5955 ZEAMER AVENUE 673D MDG |
City | JBER |
State | AK |
Zip Code | 99506-3700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619963618 | Sarah-ann Beal | Occupational Therapist | 5955 Zeamer Avenue, 673d Mdg, Jber, AK 99506 | 2005-09-25 |
1922576552 | Suzette A O'donnell | Social Worker | 5955 Zeamer Avenue, Jber, AK 99506 | 2018-11-13 |
1982060018 | Christine Ahlalook | Social Worker | 5955 Zeamer Avenue, 673d Mdg, Jber, AK 99506 | 2016-01-05 |
1659765360 | Kristine Percival | Pharmacist | 5955 Zeamer Avenue, 673d Mdg, Jber, AK 99506-1928 | 2015-03-20 |
1053710798 | Debra Sizemore | Registered Nurse | 5955 Zeamer Avenue, 673d Mdg, Jber, AK 99506-3700 | 2014-08-19 |
1477977569 | Larry Stowers | Nurse Practitioner | 5955 Zeamer Avenue, 673d Mdg, Jber, AK 99506-3700 | 2014-02-10 |
1033461942 | Heidi Ann Koslo | Nurse Practitioner | 5955 Zeamer Avenue, 673d Mdg, Jber, AK 99506 | 2012-10-03 |
1457628422 | Rae H Nakayama | Pharmacist | 5955 Zeamer Avenue, 673d Mdg, Jber, AK 99506 | 2011-11-19 |
1447540893 | Joanne M Villaflor | Dietitian, Registered | 5955 Zeamer Avenue, 673rd Mdg, Jber, AK 99506 | 2011-04-19 |
1891097572 | Ruth Parker | Pharmacist | 5955 Zeamer Avenue, 673rd Mdg, Jber, AK 99506 | 2010-12-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538797279 | Mark Pulver | Social Worker | 673mdg, Zeamer Avenue, Joint Base Elmendorf-richardson, AK 99506 | 2020-03-30 |
1871052837 | Ryan Kenny Zarnowski | Dentist | 673 Mdg, 5955 Zeamer Avenue, Jber, Ak 99506, Apo, AA 99506 | 2019-03-18 |
1679056659 | Bennett Robert Stadler | Physician Assistant | 673 Mdg 5955 Zeamer Avenue, Jber, AK 99506 | 2018-09-14 |
1437678687 | Mary Ann Barnard | Nurse Practitioner | Joint Base Elmendorf-richardson Hospital, 5955 Zeamer Ave, Anchorage, AK 99506 | 2017-09-19 |
1205375698 | Kuuipo Lau | Social Worker | 673d Mdg, 5955 Zeamer Ave., Jber, AK 99506 | 2017-02-17 |
1427434315 | Vance Knauer | Dentist | 673mdg 5955 Zeamer Ave, Jber, AK 99506 | 2015-08-03 |
1295112159 | Jacob Eby | Pediatrics | 673 Mdg 5955 Zeamer Ave, Jber, AK 99506 | 2015-04-29 |
1174956338 | Scott M Cheney | Physical Therapist | 673mdg, 5955 Zeamer Ave, Jber, AK 99506 | 2013-08-12 |
1518305580 | Jennifer Lynn Robison | Physician Assistant | 65955 Zeamer Avenue, Jber, AK 99506 | 2013-06-12 |
1588939664 | Paul Aaron Garrett | Emergency Medicine | 673rd Mdg, 5955 Zeamer Avenue, Jber, Apo, AA 99506 | 2012-03-21 |
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Taxonomy Code | 122300000X |
Grouping | Dental Providers |
Classification | Dentist |
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427434315 | Vance Knauer | Dentist | 673mdg 5955 Zeamer Ave, Jber, AK 99506 | 2015-08-03 |
1497121669 | Mckinley Soult | Dentist | 5955 Zeamer Ave, Jber, AK 99506 | 2015-08-11 |
1114268711 | Ellen Donohue | Dentist | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2013-03-06 |
1962741769 | Erin Knouse | Dentist | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2013-02-14 |
1659644888 | James Adam Griffith | Dentist | 5955 Zeamer Ave, 673d Mdg, Jber, AK 99506 | 2012-02-19 |
1043505613 | Ashley Nicole Harris Hudson | Dentist | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2011-06-12 |
1649594581 | Timothy Arnold Carlson | Dentist | 5955 Zeamer Ave, 673rd Medical Group/sghq, Jber, AK 99506-3702 | 2010-03-22 |
1780845511 | Nicole Alexandra Smith | Dentist | 5955 Zeamer Avenue, 673d Mdg, Jber, AK 99506 | 2008-06-24 |
1770535601 | Jeffrey Allen Ford | Dentist | 5955 Zeamer Avenue, 673d Mdg, Jber, AK 99506 | 2006-05-17 |
1306823083 | Michael Everett Fulton | Dentist | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2005-12-23 |
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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.