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DR. BENJAMIN EARL DEWAAL D.D.S.
NPI 1801182704
Dentist - General Practice in Potosi, MO

Active since June 20, 2011PECOS Enrolled
1 SOUTHTOWNE DR, POTOSI, MO 63664(573) 438-8401(573) 438-8402 Get Directions Write a Review

NPPES record last updated: June 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Benjamin Earl Dewaal D.d.s. NPPES

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

DR. BENJAMIN EARL DEWAAL D.D.S. (NPI 1801182704) is an individual general practice provider in Potosi, Missouri, licensed in Missouri (2011017964) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801182704
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BENJAMIN EARL DEWAALCredential: D.D.S.
Location Address1 SOUTHTOWNE DRPotosi, MO 63664-5729
Mailing Address1 Southtowne DrPotosi, MO 63664-5729 · (573) 438-8401 · Fax (573) 438-8402
Phone(573) 438-8401
Fax(573) 438-8402
Sole ProprietorNo
Enumeration DateJune 20, 2011
✔ NPI 1801182704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 2011017964
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.
1 SOUTHTOWNE DR, Potosi, MO 63664
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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. Benjamin Earl Dewaal 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 63664 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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 20

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

GENOA HEALTHCARE LLC
Pharmacy (Long Term Care Pharmacy)
1 SOUTHTOWNE DR
POTOSI, MO 63664
Washington County (573) 283-3111
GREGORY A ROEBACK LPC
Counselor (Professional)
1 SOUTHTOWNE DR
POTOSI, MO 63664
Washington County (573) 438-9355
PENNY KAYE GRECHUS MSN, RN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1 SOUTHTOWNE DR
POTOSI, MO 63664
Washington County (573) 438-7892
MELISSA GAIL BENSON LMSW
Social Worker (Clinical)
1 SOUTHTOWNE DR
POTOSI, MO 63664
Washington County (573) 438-8381
SAMANTHA ALANNA FINLEY FNP-C
Nurse Practitioner (Family)
1 SOUTHTOWNE DR
POTOSI, MO 63664
Washington County (573) 438-9355
MS. AUDRA LOUISE O'NEAL RDH
Dental Hygienist
1 SOUTHTOWNE DR
POTOSI, MO 63664
Washington County (573) 438-8401
JESSICA LYNN HOLLAND FNP-C
Nurse Practitioner
1 SOUTHTOWNE DR
POTOSI, MO 63664
Washington County (572) 438-9355
MRS. TERRA RENEE GRAVES LCSW
Social Worker (Clinical)
1 SOUTHTOWNE DR
POTOSI, MO 63664
Washington County (573) 438-9355

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 Benjamin Dewaal's NPI number?

The NPI number for Benjamin Dewaal is 1801182704. It was assigned to this individual provider in the NPPES registry on June 20, 2011.

Where is Benjamin Dewaal located?

Benjamin Dewaal practices at 1 Southtowne Dr, Potosi, MO 63664. The listed phone number is (573) 438-8401.

What is Benjamin Dewaal's specialty?

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

Is Benjamin Dewaal enrolled in Medicare?

Yes. Benjamin Dewaal is registered in the Medicare PECOS enrollment system.

What insurance does Benjamin Dewaal accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 17 other insurers list Benjamin Dewaal 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 Benjamin Dewaal was last updated on June 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.