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DR. BENNETT J. VACULIK D.D.S.
NPI 1174641542
Dentist - General Practice in Emory, TX

Active since March 26, 2007PECOS Enrolled
903 E LENNON DR STE 108, EMORY, TX 75440(903) 474-6010(903) 474-6011 Get Directions Write a Review

NPPES record last updated: April 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bennett J. Vaculik D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BENNETT J. VACULIK D.D.S. (NPI 1174641542) is an individual general practice provider in Emory, Texas, licensed in Texas (12250) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174641542
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BENNETT J. VACULIKCredential: D.D.S.
Location Address903 E LENNON DR STE 108Emory, TX 75440-5229
Mailing Address903 E Lennon Dr Ste 108Emory, TX 75440-5229 · (903) 474-6010 · Fax (903) 474-6011
Phone(903) 474-6010
Fax(903) 474-6011
Sole ProprietorYes
Enumeration DateMarch 26, 2007
Last NPPES UpdateApril 26, 2019
✔ NPI 1174641542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 12250
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
903 E LENNON DR STE 108, Emory, TX 75440
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bennett J. Vaculik D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75440 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEALTHY SLEEP OF EAST TEXAS PLLC
Dentist (General Practice)
903 E LENNON DR STE 108
EMORY, TX 75440
Rains County (903) 953-8500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bennett Vaculik's NPI number?

The NPI number for Bennett Vaculik is 1174641542. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Bennett Vaculik located?

Bennett Vaculik practices at 903 E Lennon Dr Ste 108, Emory, TX 75440. The listed phone number is (903) 474-6010.

What is Bennett Vaculik's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Bennett Vaculik enrolled in Medicare?

Yes. Bennett Vaculik is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bennett Vaculik was last updated on April 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.