Provider Demographics
NPI:1952659278
Name:BENKO & BENKO ASSOCIATES
Entity Type:Organization
Organization Name:BENKO & BENKO ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BENKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-944-7874
Mailing Address - Street 1:1083 DAIRY LN
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17022-9547
Mailing Address - Country:US
Mailing Address - Phone:717-361-1025
Mailing Address - Fax:717-367-7922
Practice Address - Street 1:1083 DAIRY LN
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:PA
Practice Address - Zip Code:17022-9547
Practice Address - Country:US
Practice Address - Phone:717-361-1025
Practice Address - Fax:717-367-7922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-16
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS016947L1223G0001X
PASA0350151223G0001X
PADS0354711223G0001X
PADS0350351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty