Stephen Michael Benjamin in Peoria - Endodontics

Stephen Michael Benjamin - NPI 1205907490

Stephen Michael Benjamin is a Endodontics in Peoria, Illinois. Stephen Michael Benjamin practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Stephen Michael Benjamin is 1205907490. The last update date is 2007-08-31.

Stephen Michael Benjamin's current location address is 3306 W Chartwell Rd, Peoria, Illinois. You can contact this provider via phone number 3096900011. The mailing address for Stephen Michael Benjamin is 3306 W Chartwell Rd, Peoria, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen Michael Benjamin
Address 3306 W Chartwell Rd, Peoria, Illinois
Phone Number 3096900011
Fax Number
Sole Proprietor N
Credentials D.M.D., M.

NPI Number Detail

NPI Number 1205907490
Provider Enumeration Date 2006-11-11
Last Updated Date 2007-08-31

Provider Mailing Address Detail

Address 3306 W Chartwell Rd
City Peoria
State Illinois (IL)
Post Code 616142322
Phone Number 3096900011
Fax Number

Provider's Primary Taxonomy Detail

Speciality Endodontics
Taxonomy 1223E0200X
Definition:
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti

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FAQs about Stephen Michael Benjamin

What is the unique provider identifier assigned to Stephen Michael Benjamin?

The Stephen Michael Benjamin has been issued the NPI (National Provider Identifier) 1205907490 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Stephen Michael Benjamin is physically located?

The Stephen Michael Benjamin is situated at the following address: 3306 W Chartwell Rd, Peoria, IL 616142322.

What is Stephen Michael Benjamin's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Stephen Michael Benjamin is Endodontics, and the taxonomy code that classifies this field of practice is 1223E0200X.

When was the Stephen Michael Benjamin's 1205907490 issued?

The Stephen Michael Benjamin's 1205907490 was issued on 2006-11-11.

As of what date was the information pertaining to Stephen Michael Benjamin, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Stephen Michael Benjamin, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-08-31.

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