Record, Benjamin Ross

Record, Benjamin Ross is an sole proprietor health care provider with primary practice located at 15110 Wax Rd , Baton Rouge LA 70818-5423. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Record, Benjamin Ross can be contacted via phone (225) 261-1580.

Contact Information

Primary practice address
15110 Wax Rd Baton Rouge LA 70818-5423
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5502 Louisiana

Profile Details

NPI number 1568410314
LBN Legal business name Record, Benjamin Ross
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2006
Last updated Sep 29th, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568410314 NPPES
Louisiana MEDICAID 1855022

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