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Dr. Mark Richard Benne , DDS

Dentist - General Practice β€’ Fort Campbell, KY

Active NPI 1104806041 Individual Practitioner Male Practitioner
Practice location in NPPES

2441 21st St
Fort Campbell, KY 422235582

Call 2707988977 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2441 21st St

Fort Campbell, KY 422235582

Telephone 2707988977

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fort Campbell and Kentucky

28 active clinicians are listed under Dentist - General Practice with a practice address in Fort Campbell, KY (1,591 in Kentucky).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fort Campbell

0% of these 28 clinicians have the CMS telehealth indicator.

0% of these 28 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES WA DE00007213

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES IL 019.019810

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES VT 16-0000997

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES CO DEN.00007213

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES CA 53740

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Kentucky Board of Medical Licensure.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1619343373

Doctor of Dental Medicine

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Dentist (license number reported to NPPES: IL 019.019810)

βœ…
NPI Profile Active August 15, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location August 15, 2017

Registered at 2441 21ST ST, FORT CAMPBELL, KY 422235582 (Tel: (270) 798-8977)

πŸ“
Updated Business Mailing Address August 15, 2017

Registered at 2441 21ST ST, FORT CAMPBELL, KY 422235582 (Tel: (270) 798-8977)

πŸ‘€
Provider Name / Credentials Updated August 15, 2017

Recorded as MARK BENNE, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2017

Dentist (license number reported to NPPES: IL 019.019810)

βœ…
NPI Profile Active May 27, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 27, 2016

Registered at 1631 WETZEL AVE, BLDG 815, FORT CARSON, CO 809134095 (Tel: 7195265537)

πŸ“
Business Mailing Address (Initial Record) May 27, 2016

Registered at 1631 WETZEL AVE, BLDG 815, FORT CARSON, CO 809134095 (Tel: 7195265537)

πŸ‘€
Provider Name / Credentials (Initial Record) May 27, 2016

Recorded as MARK BENNE, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2016

Dentist (license number reported to NPPES: WA DE00007213)

🟒
Initial NPI Registration & Enumeration January 18, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104806041
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2006
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

2441 21st St

Fort Campbell, KY 422235582

Phone: 2707988977

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.