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DR. GARY LYNN BENNICOFF D.D.S.
NPI 1487782454
Dentist - General Practice in Easton, PA

Active since March 01, 2007Opted out of Medicare · through Dec 8, 2026
1305 TATAMY RD, EASTON, PA 18045(610) 252-2223(610) 252-4099 Get Directions Write a Review

NPPES record last updated: September 2, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gary Lynn Bennicoff D.d.s. NPPES

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

DR. GARY LYNN BENNICOFF D.D.S. (NPI 1487782454) is an individual general practice provider in Easton, Pennsylvania, licensed in Pennsylvania (DS024212-L) and active in the NPI registry since March 2007. He has opted out of Medicare through December 8, 2026.

NPPES Registry Identity

NPI1487782454
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GARY LYNN BENNICOFFCredential: D.D.S.
Location Address1305 TATAMY RDEaston, PA 18045-7474
Mailing Address1305 Tatamy RdEaston, PA 18045-7474 · (610) 252-2223 · Fax (610) 252-4099
Phone(610) 252-2223
Fax(610) 252-4099
Sole ProprietorYes
Enumeration DateMarch 1, 2007
Last NPPES UpdateSeptember 2, 2008
✔ NPI 1487782454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in PA · DS024212-L
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.
1305 TATAMY RD, Easton, PA 18045
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Gary Lynn Bennicoff D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 8, 2020 through December 8, 2026.

Opt-Out Effective DateDecember 8, 2020
Opt-Out In Effect ThroughDecember 8, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Gary Bennicoff's NPI number?

The NPI number for Gary Bennicoff is 1487782454. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Gary Bennicoff located?

Gary Bennicoff practices at 1305 Tatamy Rd, Easton, PA 18045. The listed phone number is (610) 252-2223.

What is Gary Bennicoff's specialty?

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

Is Gary Bennicoff enrolled in Medicare?

No. Gary Bennicoff has opted out of Medicare through December 8, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Gary Bennicoff was last updated on September 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.