Benjamin, Stephen Michael

Benjamin, Stephen Michael is an individual health care provider with primary practice located at 3306 W Chartwell Rd , Peoria IL 61614-2322. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Benjamin, Stephen Michael can be contacted via phone (309) 690-0011.

Contact Information

Primary practice address
3306 W Chartwell Rd Peoria IL 61614-2322
Phone: (309) 690-0011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Illinois
Dental Providers / Endodontics 1223E0200X Illinois

Profile Details

NPI number 1205907490
LBN Legal business name Benjamin, Stephen Michael
Credentials D.M.D., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2006
Last updated Aug 31st, 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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