DR. BENNETT VAN YORK D.D.S.
NPI 1417045386
Dentist - Oral and Maxillofacial Surgery in Hattiesburg, MS

Q: What is Bennett York's NPI number?

The NPI number for Bennett York is 1417045386. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Q: What is Bennett York's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Bennett York was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 10, 2006PECOS Enrolled

1421 S 28TH AVE, HATTIESBURG, MS 39402(601) 264-7611(601) 268-0693 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Bennett Van York D.d.s. NPPES

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

DR. BENNETT VAN YORK D.D.S. (NPI 1417045386) is an individual oral and maxillofacial surgery provider in Hattiesburg, Mississippi, licensed in Tennessee (OS1679) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Mississippi Medical Center School Of Dentistry (1961).

NPPES Registry Identity

NPI1417045386

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. BENNETT VAN YORKCredential: D.D.S.

Location Address1421 S 28TH AVEHattiesburg, MS 39402-3108

Mailing Address1421 S 28th AveHattiesburg, MS 39402-3108 · (601) 264-7611 · Fax (601) 268-0693

Phone(601) 264-7611

Fax(601) 268-0693

Sole ProprietorNo

Medical School CMSUniversity Of Mississippi Medical Center School Of DentistryGraduated 1961

Enumeration DateOctober 10, 2006

Last NPPES UpdateOctober 18, 2023

NPPES CertifiedOctober 18, 2023

✔ NPI 1417045386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in TN · OS1679

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

1421 S 28TH AVE, Hattiesburg, MS 39402

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Other Identifiers 2

Medicaid0660133MS

Other1182-65MS · Dental License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health 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. Bennett Van York D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496834939

PECOS Enrollment IDI20120130000702

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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of lower jaws, upper jaws and teeth 70355

An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.

208 services195 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

133 services133 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

73 services65 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

20 services20 patients

Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes 99153

This service involves a physician administering medication to lower your consciousness during a procedure. It's done for your comfort and safety. The drug's effects last about 15 minutes, so additional doses may be given as needed.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39402 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

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 5

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

DR. GRIFFIN HAROLD WEST D.M.D.

Dentist (Oral and Maxillofacial Surgery)