Individual provider · Type 1 NPI

Ben Michael Koolick, DDS

General Practice Dentistry · Peoria, AZ

NPI number 1104818467 Active

Practice location

8390 W Cactus Rd Ste 110
Peoria, AZ 85381-5206

Mailing address

9494 E Desert Cove Ave
Scottsdale, AZ 85260-6144

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XAZ6037 (AZ)

General Practice Dentistry: 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.

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About NPI 1104818467

Ben Michael Koolick, DDS's National Provider Identifier is 1104818467, issued on Aug 22, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Peoria, AZ. The record was last updated on Apr 3, 2011.