Schaefer, Benjamin Edward

Schaefer, Benjamin Edward is an individual health care provider with primary practice located at 611 W Park St , Urbana IL 61801-2529. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Schaefer, Benjamin Edward can be contacted via phone (217) 383-3280.

Contact Information

Primary practice address
611 W Park St Urbana IL 61801-2529
Phone: (217) 383-3280
Fax: (217) 383-7071
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 018001918 Illinois
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 10975 Tennessee
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 019032456 Illinois

Profile Details

NPI number 1093172744
LBN Legal business name Schaefer, Benjamin Edward
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2016
Last updated Jul 31st, 2020 - about 4 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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