NPI 1689083347

Timothy A. Benich DDS, PC

Organisation Preferred Provider Organization Woodstock, GA

Practice location

Address: 6304 Old Highway 5 100, Woodstock, GA 30188-2452
Phone: (770) 924-0157

Authorised official

Name: Timothy Benich
Title: Owner
Phone: (770) 924-0157

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 7987 (GA)

Other Preferred Provider Organization providers in Georgia →

Registry record

NPI: 1689083347
Entity type: Organization
NPI issued: 7 Aug 2014
Record last updated: 7 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.