Benjamin W Deshetler in Marietta - Dentist
Benjamin W Deshetler - NPI 1427253129
Benjamin W Deshetler is a Dentist in Marietta, Georgia. Benjamin W Deshetler practices all healthcare services and medical treatments related to Dentist. The NPI Number for Benjamin W Deshetler is 1427253129. The last update date is 2007-07-08.
Benjamin W Deshetler's current location address is 2678 Kinjac Dr, Marietta, Georgia. You can contact this provider via phone number 7709711511 and fax number 7709710239. The mailing address for Benjamin W Deshetler is 2678 Kinjac Dr, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Benjamin W Deshetler |
|---|---|
| Address | 2678 Kinjac Dr, Marietta, Georgia |
| Phone Number | 7709711511 |
| Fax Number | 7709710239 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1427253129 |
|---|---|
| Provider Enumeration Date | 2007-06-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2678 Kinjac Dr |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300664374 |
| Phone Number | 7709711511 |
| Fax Number | 7709710239 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 12189 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identification code assigned to Benjamin W Deshetler by the Centers for Medicare & Medicaid Services?
The Benjamin W Deshetler has been issued the NPI (National Provider Identifier) 1427253129. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Benjamin W Deshetler's physical address?
The Benjamin W Deshetler is physically located at 2678 Kinjac Dr, in the city of Marietta, GA, with the postal code 300664374.
What is Benjamin W Deshetler's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Benjamin W Deshetler is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did the Benjamin W Deshetler receive its 1427253129 assignment from the Centers for Medicare & Medicaid Services?
The Benjamin W Deshetler was assigned its 1427253129 by the Centers for Medicare & Medicaid Services on 2007-06-20.
As of what date were the details related to Benjamin W Deshetler most recently updated or revised?
The information pertaining to Benjamin W Deshetler, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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