DR. Benjamin Edward Schaefer, D.D.S.

NPI #1093172744 in Urbana, Illinois

Provider Information

NPI Number: 1093172744
Entity Type: Individual
Name: DR. Benjamin Edward Schaefer, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jan 26, 2016
Last Updated: Jul 31, 2020

Practice Location

Address: 611 W PARK ST
City: Urbana
State: Illinois
ZIP Code: 61801-2529
Phone: (217) 383-3280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X

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