Benjamin, Mary T

Benjamin, Mary T is an individual health care provider with primary practice located at 15 S Clayton St , Lawrenceville GA 30045-5715. She recently has only one registered license in Dental Providers / Dental Public Health, which is considered as her primary health care specialty. Benjamin, Mary T can be contacted via phone (770) 339-4283.

Contact Information

Primary practice address
15 S Clayton St Lawrenceville GA 30045-5715
Fax: (770) 279-5983
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X DN010144 Georgia

Profile Details

NPI number 1790743870
LBN Legal business name Benjamin, Mary T
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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