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DR. JACQUELINE R BENNETT DDS
NPI 1194877530
Dentist - General Practice in Tucson, AZ

Active since January 17, 2007PECOS Enrolled
2300 N CRAYCROFT RD STE 2, TUCSON, AZ 85712(520) 886-3303(520) 886-2236 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jacqueline R Bennett Dds NPPES

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

DR. JACQUELINE R BENNETT DDS (NPI 1194877530) is an individual general practice provider in Tucson, Arizona, licensed in Arizona (D4891) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194877530
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JACQUELINE R BENNETTCredential: DDS
Location Address2300 N CRAYCROFT RD STE 2Tucson, AZ 85712-2808
Mailing Address2300 N Craycroft Rd Ste 2Tucson, AZ 85712-2808 · (520) 886-3303 · Fax (520) 886-2236
Phone(520) 886-3303
Fax(520) 886-2236
Sole ProprietorYes
Enumeration DateJanuary 17, 2007
Last NPPES UpdateAugust 2, 2023
NPPES CertifiedAugust 2, 2023
✔ NPI 1194877530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AZ · D4891
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.
2300 N CRAYCROFT RD STE 2, Tucson, AZ 85712
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Other Identifiers 1

Medicaid524795AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

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. Jacqueline R Bennett Dds 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 85712 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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 Jacqueline Bennett's NPI number?

The NPI number for Jacqueline Bennett is 1194877530. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Jacqueline Bennett located?

Jacqueline Bennett practices at 2300 N Craycroft Rd Ste 2, Tucson, AZ 85712. The listed phone number is (520) 886-3303.

What is Jacqueline Bennett's specialty?

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

Is Jacqueline Bennett enrolled in Medicare?

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

What insurance does Jacqueline Bennett accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Jacqueline Bennett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacqueline Bennett was last updated on August 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.