Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BEN MICHAEL KOOLICK, DDS
Active Sole ProprietorGeneral Dentistry · PEORIA, AZ
Registration Details
- NPI Number
- 1104818467
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2005 (20.66324717925 yrs)
- Last Updated
- Apr 3, 2011
- License
-
AZ6037 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8390 W CACTUS RD STE 110PEORIA, AZ, 853815206Browse AZ providers · Browse ZIP 85381
- Phone
- 6238783300
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in PEORIA, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. JEFFREY C KLEIMAN | DMD | 1437156031 |
| DR. JOHNNY LEE SMITH | D.M.D. | 1629075130 |
| ERNEST FRANKLIN DELMOE | DDS | 1912999509 |
| DR. MICHAEL RECUBER III | D.D.S. | 1033102207 |
| DR. DARREL LEE BISCHOFF | DDS | 1629038856 |
| DR. DAVID RICK OSTLER | DDS | 1841253549 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.