Timothy A. Benich, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7987 Issued in GA

Practice address

135 Johnson Ferry Rd
Ste 2100
Marietta, GA 30068-4942

Phone

(770) 953-3143

NPI assigned

Nov 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Timothy a. Benich DDS, PC

  • Preferred Provider Organization
  • Woodstock, GA
  • NPI 1689083347
  NPD (past) Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083791826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 SHADOWLAWN RD SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300674326",
            "telephone_number": "770-953-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 JOHNSON FERRY RD",
            "address_2": "STE 2100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684942",
            "telephone_number": "770-953-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENICH",
        "first_name": "TIMOTHY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "7987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan L Benedict, M.D.
• William John Benedict Jr., M.D.
• Benevis, LLC
• Angelina Benfield
• Beau C. Benich, DMD
• Katiana J Benn
• Carrie Heather Bennett, CRNP
• Courtney Alleen Bennett, FNP
• Joanna Claire Bennett, OTR/L
• Kimberly Michelle Bennett, LMSW

• General Practice Dentistry in Marietta, GA
• Providers in Marietta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.