DR. MARK P BENNER D.D.S
NPI 1811074354
Dentist - General Practice in Winder, GA

Active since November 01, 2006PECOS Enrolled
212 E BROAD ST, WINDER, GA 30680(770) 867-3275(770) 586-5718 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark P Benner D.d.s NPPES

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

DR. MARK P BENNER D.D.S (NPI 1811074354) is an individual general practice provider in Winder, Georgia, licensed in Georgia (010081) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811074354
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARK P BENNERCredential: D.D.S
Location Address212 E BROAD STWinder, GA 30680-2202
Mailing Address212 E Broad StWinder, GA 30680-2202 · (770) 867-3275 · Fax (770) 586-5718
Fax(770) 586-5718
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1811074354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in GA · 010081
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.
212 E BROAD ST, Winder, GA 30680

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. Mark P Benner 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 30680 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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 3

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

Clinic/Center (Dental)
212 E BROAD ST
WINDER, GA 30680
Dentist (General Practice)
212 E BROAD ST
WINDER, GA 30680
Dentist (General Practice)
212 E BROAD ST
WINDER, GA 30680

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 Benner's NPI number?

The NPI number for Mark Benner is 1811074354. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Mark Benner located?

Mark Benner practices at 212 E Broad St, Winder, GA 30680. The listed phone number is (770) 867-3275.

What is Mark Benner's specialty?

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

Is Mark Benner enrolled in Medicare?

Yes. Mark Benner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Benner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.