Provider Demographics
NPI:1679747497
Name:BENKO & BENKO ASSOCIATES
Entity Type:Organization
Organization Name:BENKO & BENKO ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:BENKO
Authorized Official - Suffix:SR
Authorized Official - Credentials:DMD
Authorized Official - Phone:717-944-7874
Mailing Address - Street 1:927 ADELIA ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17057-2808
Mailing Address - Country:US
Mailing Address - Phone:717-944-7874
Mailing Address - Fax:717-948-4124
Practice Address - Street 1:927 ADELIA ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:PA
Practice Address - Zip Code:17057-2808
Practice Address - Country:US
Practice Address - Phone:717-944-7874
Practice Address - Fax:717-948-4124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty