Organization Active NPI

Bennett J. Vaculik, D.D.S.,P.C.

  • Dental Clinic/Center
  • Sulphur Springs, TX
National Provider Identifier
1801914155
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
12250 Issued in TX
Legal business name
BENNETT J. VACULIK, D.D.S.,P.C.
Practice address
620 Church St
Sulphur Springs, TX 75482-2689
Phone
(903) 885-7726
Fax
(903) 885-1698
NPI assigned
Mar 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bennett J. Vaculik, DDS
Title
President
Phone
(903) 885-7726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 12250 TX Primary

Addresses

Primary practice location

620 Church St
Sulphur Springs, TX 75482-2689

Mailing address

620 Church St
Sulphur Springs, TX 75482-2689
Phone (903) 885-7726

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801914155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 CHURCH ST",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822689",
            "telephone_number": "903-885-7726",
            "fax_number": "903-885-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 CHURCH ST",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822689",
            "telephone_number": "903-885-7726",
            "fax_number": "903-885-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNETT J. VACULIK, D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VACULIK",
        "authorized_official_first_name": "BENNETT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-885-7726",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "12250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur Springs, TX

Sources for this page

  • 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.