Iuliia Vitalyevna Bennett, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

110438 Issued in CA

Practice address

61 Rabano
Rancho Santa Margarita, CA 92688-4962

Phone

(510) 707-1126

NPI assigned

Sep 3, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1053146829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 RABANO",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926884962",
            "telephone_number": "510-707-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 RABANO",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926884962",
            "telephone_number": "510-707-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "IULIIA",
        "middle_name": "VITALYEVNA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "110438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis Folekani Banda, RN
• Alysia Constance Barham, PMHNP-BC
• Katherine Dawn Barton, MA., LMFT
• Katie Bazylak
• Robin M. Beauregard, P.T.
• Patricia Bennett, M.S., MFT
• Sarah Elizabeth Bennett, MA, MFTI
• Devon Rachelle Benson, LMFT
• Shelly Berg
• Kristen Bergmann, SLPA

• General Practice Dentistry in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.