MARK BENAVIDES D.D.S., P.C.
NPI 1235201344
Dentist - General Practice in Ottawa, IL

Active since November 14, 2006
1703 POLARIS CIR, OTTAWA, IL 61350(815) 434-0152 Get Directions Write a Review

NPPES record last updated: December 17, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Benavides D.d.s., P.c. NPPES

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

MARK BENAVIDES D.D.S., P.C. (NPI 1235201344) is a healthcare organization registered as a general practice in Ottawa, Illinois and active in the NPI registry since November 2006. The organization lists Mark Benavides, Owner, as its authorized official.

NPPES Registry Identity

NPI1235201344
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMARK BENAVIDES D.D.S., P.C.
Location Address1703 POLARIS CIROttawa, IL 61350-1683
Mailing Address1703 Polaris CirOttawa, IL 61350-1683 · (815) 434-0152
Organization SubpartNo
Authorized OfficialMark BenavidesOwner · (815) 434-0152
Enumeration DateNovember 14, 2006
Last NPPES UpdateDecember 17, 2013
NPI 1235201344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IL · 0019-20337
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.
1703 POLARIS CIR, Ottawa, IL 61350

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

Podiatrist
1703 POLARIS CIR
OTTAWA, IL 61350
Dentist (Oral and Maxillofacial Surgery)
1703 POLARIS CIR
OTTAWA, IL 61350
Podiatrist
1703 POLARIS CIR
OTTAWA, IL 61350
Podiatrist (Foot & Ankle Surgery)
1703 POLARIS CIR, SUITE 4
OTTAWA, IL 61350
Dentist
1703 POLARIS CIR, SUITE 3
OTTAWA, IL 61350
Podiatrist (Foot & Ankle Surgery)
1703 POLARIS CIR, SUITE 4
OTTAWA, IL 61350

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 Mark Benavides D.D.S., P.C.'s NPI number?

The NPI number for Mark Benavides D.D.S., P.C. is 1235201344. It was assigned to this organization in the NPPES registry on November 14, 2006.

Where is Mark Benavides D.D.S., P.C. located?

Mark Benavides D.D.S., P.C. is located at 1703 Polaris Cir, Ottawa, IL 61350. The listed phone number is (815) 434-0152.

What is Mark Benavides D.D.S., P.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Mark Benavides D.D.S., P.C. was last updated on December 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.