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Deactivated NPI 1588776959 Deactivated / Inactive NPI Male Practitioner

Dr. Mark Leon Bennett , DDS

Dentist - General Practice • Madisonville, TX

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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. Mark Bennett has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 31, 2006
NPI Deactivation Date June 30, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Bennett, DDS was a registered Dentist - General Practice practicing in Madisonville, TX. Throughout an active medical career spanning 15 years, Dr. Bennett provided care at the practice location at 714 B SOUTH MADISON until profile deactivation on 2021-06-30.

Practice Location & Contact Primary Location

Practice Address

714 B South Madison

Madisonville, TX 77864

Telephone 9363485158
Fax 9363485622
Associated Practice Facility / Clinic
🏢 Mac L Bennett Iii Dds Inc Facility NPI 1457463820

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Madisonville, TX

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

Practicing in Madisonville, 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 17131

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. Mac Bennett , DDS

Dentist - General Practice

NPI 1407968803

Doctor of Dental Surgery

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 30, 2021

Record deactivated on June 30, 2021

NPI Profile Active June 19, 2008

NPI status registered as active in NPPES database

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Updated Practice Location June 19, 2008

Registered at 714 B SOUTH MADISON, MADISONVILLE, TX 77864 (Tel: 9363485158)

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Updated Business Mailing Address June 19, 2008

Registered at PO BOX 100, MADISONVILLE, TX 77864 (Tel: 9363485158)

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Provider Name / Credentials Updated June 19, 2008

Recorded as MARK BENNETT, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2008

Dentist (License #17131 in TX)

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Initial NPI Registration & Enumeration August 31, 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: 1588776959
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: June 19, 2008
Deactivation Date: June 30, 2021

Mailing Address

Po Box 100

Madisonville, TX 77864

Phone: 9363485158

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.