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Active NPI 1972163400 Individual Practitioner Female Practitioner

Blakely Cingolani

Dentist - General Practice • Benton, AR

Professional Overview & Biography Verified Profile Summary

Blakely Cingolani is a registered healthcare professional specializing in Dentist - General Practice in Benton, AR. Practice services are available at 1112 MILITARY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1112 Military Rd

Benton, AR 720152909

Telephone 4794094436
Associated Practice Facility / Clinic
🏢 Kinard Dentistry, Llc Facility NPI 1205308533

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Benton, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.0 Yrs
Regional Practice Density
9 Specialists

Practicing in Benton, AR (909 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 AR 4363

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

2 Associated Practitioners
NPI 1366173270

Doctor of Dental Surgery

Dr. Richard Phelan , DDS

Dentist - General Practice

NPI 1841371549

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 June 17, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location June 17, 2019

Registered at 1112 MILITARY RD, BENTON, AR 720152909 (Tel: 4794094436)

📍
Updated Business Mailing Address June 17, 2019

Registered at 1112 MILITARY RD, BENTON, AR 720152909 (Tel: 4794094436)

👤
Provider Name / Credentials Updated June 17, 2019

Recorded as BLAKELY CINGOLANI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2019

Dentist (License #4363 in AR)

🟢
Initial NPI Registration & Enumeration June 17, 2019

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: 1972163400
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2019
Last Update: June 17, 2019
Sole Proprietor: Yes

Mailing Address

1112 Military Rd

Benton, AR 720152909

Phone: 4794094436

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.