Mark Richard Benne, DDS
NPI 1104806041ActiveIndividual· Dentist, General Practice· Fort Campbell, KY
Dentist, General Practice (DDS) in Fort Campbell, Kentucky, licensed in WA, IL, VT and CO and other states, with an NPI issued in January 2006.
Overview
| NPI | 1104806041 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Jan 18, 2006 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | DE00007213 | WA |
| Dentist, General Practice | 1223G0001X | 019.019810 | IL |
| Dentist, General Practice | 1223G0001X | 16-0000997 | VT |
| Dentist, General Practice | 1223G0001X | DEN.00007213 | CO |
| Dentist, General Practice | 1223G0001X | 53740 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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