Mark P. Benner, D.D.S., P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MARK P. BENNER, D.D.S., P.C.

Doing business as

Benner & Townsend Dentistry

Practice address

212 E Broad St
Winder, GA 30680-2202

Phone

(770) 867-3275

Fax

(770) 586-5718

NPI assigned

Oct 23, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Casey M Castle

Title

Director of Payor Contracts

Phone

(912) 732-1504

Specialties & licenses 1

Addresses

Other names 1

• Benner & Townsend Dentistry Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathan Richard Reisch, DMD

  • General Practice Dentistry
  • Winder, GA
  • NPI 1891559399
  NPD
• Mark P Benner, D.D.S

  • General Practice Dentistry
  • Winder, GA
  • NPI 1811074354
  NPD (past)
• Cyndie K Townsend, D.M.D

  • General Practice Dentistry
  • Winder, GA
  • NPI 1760569214
  NPD (past)

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1497527527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E BROAD ST",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306802202",
            "telephone_number": "770-867-3275",
            "fax_number": "770-586-5718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E BROAD ST",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306802202",
            "telephone_number": "770-867-3275",
            "fax_number": "770-586-5718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK P. BENNER, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "CASTLE",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF PAYOR CONTRACTS",
        "authorized_official_telephone_number": "912-732-1504",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benner & Townsend Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Dawn Luke, APRN, FNP-C
• Carol Lumpkin, WHNP-BC
• William Thomas Mac New Jr., MD
• Magnificat Family Care
• Malik M Malik, MBBS
• Julie Baxter Marshall, DMD
• Mark Matson
• Matthew W. Ryan, DC PC
• Kimberly W Matthews
• Donald E. Mauney, P.A.

• Dental Clinic/Center in Winder, GA
• Providers in Winder, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.