Jacqueline Bennett DDS PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D4891 Issued in AZ

Legal business name

JACQUELINE BENNETT DDS PLC

Practice address

1200 N El Dorado PL
Suite C320
Tucson, AZ 85715-4637

Phone

(520) 886-3303

Fax

(520) 886-3305

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline Rae Bennett, DDSNPI 1194877530

Title

Owner

Phone

(520) 886-3303

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacqueline R Bennett, DDS

  • General Practice Dentistry
  • Tucson, AZ
  • NPI 1194877530
  NPD Authorized official

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316140585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 N LARREA LN",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857502438",
            "telephone_number": "520-886-3303",
            "fax_number": "520-886-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N EL DORADO PL",
            "address_2": "SUITE C320",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154637",
            "telephone_number": "520-886-3303",
            "fax_number": "520-886-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE BENNETT DDS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-886-3303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D4891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel L Jacobson, PHARMD
• Sandra M Jacobson, RD
• Shoshana Jacobson, MSW, ACSW, LCSW
• Jolene Jacquart, PHD
• Jacqueline B Kaplan LCSW LLC
• Lilian Moreira Jacques, LCSW
• Samantha Jacquez, RBT
• Jady Gaurdian LLC
• Christine R Jaeger
• Elizabeth C Jaeger, RPH

• General Practice Dentistry in Tucson, AZ
• Providers in Tucson, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.