| Mark Benavides D.d.s., P.c. | |
|
1703 Polaris Cir Ottawa IL 61350-1683 | |
| (815) 434-0152 | |
| Not Available |
| Full Name | Mark Benavides D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1703 Polaris Cir, Ottawa, Illinois |
| Authorized Official Name and Position | Mark Benavides (OWNER) |
| Authorized Official Contact | 8154340152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Benavides D.d.s., P.c. 1703 Polaris Cir Ottawa IL 61350-1683 Ph: (815) 434-0152 | Mark Benavides D.d.s., P.c. 1703 Polaris Cir Ottawa IL 61350-1683 Ph: (815) 434-0152 |
| NPI Number | 1235201344 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 12/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235201344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0019-20337 (Illinois) | Primary |
John M Conness Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1704 Polaris Cir, Suite 1, Ottawa, IL 61350 Phone: 815-434-1022 Fax: 815-434-1047 | |
Premier Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1704 Polaris Cir, Ottawa, IL 61350 Phone: 815-434-4222 | |
Ottawa Children's Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1704 Polaris Cir, Ottawa, IL 61350 Phone: 815-434-6447 Fax: 815-434-2828 | |
John C Harbeck Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1210 W Madison St, Ottawa, IL 61350 Phone: 815-433-1242 Fax: 815-433-6931 | |
Richard A Ewald And William L Wrobel Dds Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1704 Polaris Cir, Ottawa, IL 61350 Phone: 815-434-6447 | |
Robert W. Schmidt, D.d.s., F.a.g.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 E Norris Dr, Ottawa, IL 61350 Phone: 815-434-1688 Fax: 815-434-1690 |