Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912573205 Individual Practitioner Male Practitioner

Dr. Brock Bennion , DDS

Dentist - General Practice • Keene, TX

Professional Overview & Biography Verified Profile Summary

Dr. Brock Bennion, DDS is a registered healthcare professional specializing in Dentist - General Practice in Keene, TX. Practice services are available at 104 S OLD BETSY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

104 S Old Betsy Rd

Keene, TX 760592425

Telephone 8176412272
Associated Practice Facility / Clinic
🏢 Ab1, Pllc Facility NPI 1720744287

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Keene, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
5 Specialists

Practicing in Keene, TX (10570 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

CMS Verified: 2021-11-09
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 37274

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 UT 12269263-9923

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.

Secondary Practice Locations

49 W Center St

Midvale, UT 840477364

Phone: 3852088790

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Benjamin Scroggs , DMD

Dentist - General Practice

NPI 1134903982

Doctor of Dental Medicine

NPI 1770664567

Doctor of Dental Surgery

NPI 1790453835

Doctor of Dental Surgery

NPI 1821421736

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location November 09, 2021

Registered at 104 S OLD BETSY RD, KEENE, TX 760592425 (Tel: 8176412272)

📍
Updated Business Mailing Address November 09, 2021

Registered at 104 S OLD BETSY RD, KEENE, TX 760592425 (Tel: 8176412272)

NPI Profile Active May 28, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 28, 2021

Registered at 49 W CENTER ST, MIDVALE, UT 840477364 (Tel: 3852088790)

📍
Updated Business Mailing Address May 28, 2021

Registered at 1218 UNIVERSITY VLG, SALT LAKE CITY, UT 841083508

👤
Provider Name / Credentials Updated May 28, 2021

Recorded as BROCK BENNION, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2021

Dentist (License #12269263-9923 in UT)

🟢
Initial NPI Registration & Enumeration May 28, 2021

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: 1912573205
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 28, 2021
Last Update: November 09, 2021
Sole Proprietor: No

Mailing Address

104 S Old Betsy Rd

Keene, TX 760592425

Phone: 8176412272

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.