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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 11 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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