John A Benkovich III, DDS, MS
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Chester, MD
NPI 1972721165 · NPPES record last updated Jun 25, 2020
Key facts
- NPI
- 1972721165
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 10906 (MD)
- Practice address
- 800 Abruzzi Drive Unit F
Chester, MD 21619 - Phone
- (410) 268-1700
- Fax
- (410) 295-7243
- NPI assigned
- Apr 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10906 | MD | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Benkovich DDS Ms PA | Orthodontics and Dentofacial Orthopedics | Current |
Accepting new patients |
Locations
1616 Forest Dr
Ste 7
Annapolis, MD 21403
800 Abruzzi Dr
Ste F
Chester, MD 21619
Phone (410) 268-1700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 10906 | MD | Yes |
Addresses
Primary practice location
800 Abruzzi Drive Unit F
Chester, MD 21619
Mailing address
1616 Forest Dr
Suite 7
Annapolis, MD 21403
Phone (410) 268-1700
Other providers in Chester, MD
- Felix Darnell Barnett
- Kathleen Tyson Barrett-Kennedy
- Hannah Baxter
- Bay Bridge Counseling Services, LLC
- Bella Rose LLC
- Shaun Bevins
- Billings & Murphy, D.D.S., P.a.
- Scott Harrison Billings
- Christina Joy Blake
- Nancy Brandenburger
All providers in Chester, MD · Orthodontics and Dentofacial Orthopedics Dentistry in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.