Individual ProviderBenn Marvin KushnerDentistDental ProvidersPractice Address5651 SW 64th Ave, Davie, FL 33314-7121(954) 797-4936PECOS EnrollmentBased on the most recent information from CMS, provider Benn Marvin Kushner does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1447328703Provider TypeIndividualFull NameKushner, Benn MarvinTitleDr.CredentialD.D.S.GenderMaleSole ProprietorYesEnumeration Date12/2/2006Last Updated5/17/2010Contact InformationPractice LocationPractice Address5651 SW 64th Ave, Davie, FL 33314-7121Phone(954) 797-4936Fax(954) 587-9738Mailing LocationMailing Address5651 SW 64th Ave, Davie, FL 33314-7121Phone(954) 797-4936Fax(954) 587-9738Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicenseDN 6417Florida