Wall, Benjamin Earl
Wall, Benjamin Earl is an individual health care provider with primary practice located at 10894 S River Front Pkwy , South Jordan UT 84095-5609. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Wall, Benjamin Earl can be contacted via phone (801) 878-1471.Contact Information
Primary practice address
10894 S River Front Pkwy
South Jordan UT 84095-5609
Phone: (801) 878-1471
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DEN-9427 | Colorado |
| Dental Providers / Dentist | 122300000X | DE60118562 | Washington |
| Dental Providers / Dentist | 122300000X | 8495 | Arizona |
| Dental Providers / Dentist | 122300000X | 8892816-9921 | Utah |
Profile Details
| NPI number | 1659542215 |
|---|---|
| LBN Legal business name | Wall, Benjamin Earl |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2008 |
| Last updated | May 16th, 2014 - about 10 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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