Dr Ben Michael Koolick, DDS - Dentist in Peoria, AZ

Dr Ben Michael Koolick, DDS is a Dentist - General Practice based in Peoria, Arizona. Dr Ben Michael Koolick is licensed to practice in Arizona (license number AZ6037) and his current practice location is 8390 W Cactus Rd Ste 110, Peoria, Arizona. He can be reached at his office (for appointments etc.) via phone at (623) 878-3300.

NPI number for Dr Ben Michael Koolick is 1104818467 and his current mailing address is 9494 E Desert Cove Ave, Scottsdale, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104818467.

Contact Information

Dr Ben Michael Koolick, DDS
8390 W Cactus Rd Ste 110,
Peoria, AZ 85381-5206
(623) 878-3300
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Ben Michael Koolick
GenderMale
SpecialityDentist - General Practice
Location8390 W Cactus Rd Ste 110, Peoria, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104818467
  • Provider Enumeration Date: 08/22/2005
  • Last Update Date: 04/03/2011

Medical Identifiers

Medical identifiers for Dr Ben Michael Koolick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104818467NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice AZ6037 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ben Michael Koolick is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ben Michael Koolick, DDS
9494 E Desert Cove Ave,
Scottsdale, AZ 85260-6144

Ph: (480) 767-1338
Dr Ben Michael Koolick, DDS
8390 W Cactus Rd Ste 110,
Peoria, AZ 85381-5206

Ph: (623) 878-3300

Reviews and Comments


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