Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104818467 Individual Practitioner Male Practitioner

Dr. Ben Michael Koolick , DDS

Dentist - General Practice • Peoria, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Ben Koolick, DDS is a registered healthcare professional specializing in Dentist - General Practice in Peoria, AZ. Practice services are available at 8390 W CACTUS RD STE 110 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8390 W Cactus Rd Ste 110

Peoria, AZ 853815206

Telephone 6238783300

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Peoria, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
71 Specialists

Practicing in Peoria, AZ (2600 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ AZ6037

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Yati Yadav , DDS

Dentist - General Practice

NPI 1114937521

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 03, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location April 03, 2011

Registered at 8390 W CACTUS RD STE 110, PEORIA, AZ 853815206 (Tel: 6238783300)

📍
Updated Business Mailing Address April 03, 2011

Registered at 9494 E DESERT COVE AVE, SCOTTSDALE, AZ 852606144 (Tel: 4807671338)

👤
Provider Name / Credentials Updated April 03, 2011

Recorded as BEN KOOLICK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2011

Dentist (License #AZ6037 in AZ)

🟢
Initial NPI Registration & Enumeration August 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104818467
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2005
Last Update: April 03, 2011
Sole Proprietor: Yes

Mailing Address

9494 E Desert Cove Ave

Scottsdale, AZ 852606144

Phone: 4807671338

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.