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Deactivated NPI 1174606974 Deactivated / Inactive NPI Female Practitioner

Dr. Judith Helen Benjamin , DMD

Dentist - General Practice • Bowling Green, KY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Judith Benjamin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 23, 2006
NPI Deactivation Date June 06, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Judith Benjamin, DMD was a registered Dentist - General Practice practicing in Bowling Green, KY. Throughout an active medical career spanning 11 years, Dr. Benjamin provided care at the practice location at 866 LAIN AVE until profile deactivation on 2017-06-06.

Practice Location & Contact Primary Location

Practice Address

866 Lain Ave

Bowling Green, KY 421014908

Telephone 2708420770
Fax 2708422301

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bowling Green, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
42 Specialists

Practicing in Bowling Green, KY (1699 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 KY 7706

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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 06, 2017

Record deactivated on June 06, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 866 LAIN AVE, BOWLING GREEN, KY 421014908 (Tel: 2708420770)

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Updated Business Mailing Address July 08, 2007

Registered at 913 PEACHTREE LN, BOWLING GREEN, KY 421037052 (Tel: 2707805531)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JUDITH BENJAMIN, D.M.D

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #7706 in KY)

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Initial NPI Registration & Enumeration October 23, 2006

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: 1174606974
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 23, 2006
Last Update: July 08, 2007
Deactivation Date: June 06, 2017

Mailing Address

913 Peachtree Ln

Bowling Green, KY 421037052

Phone: 2707805531

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.