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DR. DONALD LEE BENNETT D.D.S.
NPI 1184753915
Dentist - General Practice in Antioch, IL

Active since March 05, 2007PECOS Enrolled
439 LAKE ST, ANTIOCH, IL 60002(847) 395-3250 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Donald Lee Bennett D.d.s. NPPES

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

DR. DONALD LEE BENNETT D.D.S. (NPI 1184753915) is an individual general practice provider in Antioch, Illinois, licensed in Illinois (019019360) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184753915
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DONALD LEE BENNETTCredential: D.D.S.
Location Address439 LAKE STAntioch, IL 60002-1405
Mailing Address1200 Neuway LnAntioch, IL 60002-6236 · (312) 375-9673
Phone(847) 395-3250
Sole ProprietorNo
Enumeration DateMarch 5, 2007
Last NPPES UpdateAugust 8, 2025
NPPES CertifiedAugust 8, 2025
✔ NPI 1184753915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in IL · 019019360✔ Licensed in MI · 2901018542
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.
439 LAKE ST, Antioch, IL 60002
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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. Donald Lee Bennett 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 60002 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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 3

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

DR. LORELEI LYNNE GRISE' D.D.S.
Dentist (Periodontics)
439 LAKE ST
ANTIOCH, IL 60002
Lake County (847) 395-3250
DONALD L BENNETT, D.D.S., P.C.
Clinic/Center (Dental)
439 LAKE ST
ANTIOCH, IL 60002
Lake County (847) 395-3250
ANTIOCH DENTAL CENTRE PC
Clinic/Center (Dental)
439 LAKE ST
ANTIOCH, IL 60002
Lake County (847) 395-3250

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 Donald Bennett's NPI number?

The NPI number for Donald Bennett is 1184753915. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Donald Bennett located?

Donald Bennett practices at 439 Lake St, Antioch, IL 60002. The listed phone number is (847) 395-3250.

What is Donald Bennett's specialty?

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

Is Donald Bennett enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Donald Bennett was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.