Schlott, Benjamin Jacob

Schlott, Benjamin Jacob is an sole proprietor health care provider with primary practice located at 3555 College Ave , Alton IL 62002-5009. He recently has 4 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Dentist, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Schlott, Benjamin Jacob can be contacted via phone (618) 462-1646.

Contact Information

Primary practice address
3555 College Ave Alton IL 62002-5009
Phone: (618) 462-1646
Fax: (618) 462-5211
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019026421 Illinois
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2011013340 Missouri
Dental Providers / Dentist 122300000X DTP602 Florida
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DTP602 Florida
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 2011022969 Missouri
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 036140395 Illinois
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 021002736 Illinois

Profile Details

NPI number 1891938296
LBN Legal business name Schlott, Benjamin Jacob
Credentials D.M.D , M.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2009
Last updated Dec 2nd, 2021 - about 3 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 1891938296 NPPES
Missouri MEDICAID 1891938296

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