Healthcare Provider Details

I. General information

NPI: 1992482004
Provider Name (Legal Business Name): BENJAMIN SLUCHAK DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2023
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARL R. DARNALL AMC 590 MEDICAL CENTER ROAD
FORT HOOD TX
76544
US

IV. Provider business mailing address

CARL R. DARNALL AMC 590 MEDICAL CENTER ROAD
FORT HOOD TX
76544
US

V. Phone/Fax

Practice location:
  • Phone: 254-288-8888
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number14286988-9926
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: