Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104806041 Individual Practitioner Male Practitioner

Dr. Mark Richard Benne , DDS

Dentist - General Practice • Fort Campbell, KY

Professional Overview & Biography Verified Profile Summary

Dr. Mark Benne, DDS is a registered healthcare professional specializing in Dentist - General Practice in Fort Campbell, KY. Practice services are available at 2441 21ST ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2441 21st St

Fort Campbell, KY 422235582

Telephone 2707988977

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fort Campbell, KY

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

Practicing in Fort Campbell, 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 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

State License 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

State License 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

State License 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

State License 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.

Practice Associates & Co-Workers

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

39 Associated Practitioners
Patricia Greer , DTA

Dental Assistant

NPI 1033568936
Raymond Aguon

Dental Assistant

NPI 1043660632
Kandi Pope

Dental Hygienist

NPI 1043669914
Vickie Simdon

Dental Hygienist

NPI 1093165532
Franchesska Davis

Dental Hygienist

NPI 1154772606
Joyal Riley

Dental Assistant

NPI 1184074817

Career & Practice History Timeline

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

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

Dentist (License #019.019810 in IL)

NPI Profile Active August 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 15, 2017

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

📍
Updated Business Mailing Address August 15, 2017

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

👤
Provider Name / Credentials Updated August 15, 2017

Recorded as MARK BENNE, DDS

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

Dentist (License #019.019810 in IL)

NPI Profile Active May 27, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 27, 2016

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

📍
Updated Business Mailing Address May 27, 2016

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

👤
Provider Name / Credentials Updated May 27, 2016

Recorded as MARK BENNE, DDS

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

Dentist (License #DE00007213 in WA)

🟢
Initial NPI Registration & Enumeration January 18, 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: 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

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.