DR. Stephen Michael Benjamin, D.M.D., M.S.

NPI #1205907490 in Peoria, Illinois

Provider Information

NPI Number: 1205907490
Entity Type: Individual
Name: DR. Stephen Michael Benjamin, D.M.D., M.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Endodontics
Credential: D.M.D., M.S.
Enumeration Date: Nov 11, 2006
Last Updated: Aug 31, 2007

Practice Location

Address: 3306 W CHARTWELL RD
City: Peoria
State: Illinois
ZIP Code: 61614-2322
Phone: (309) 690-0011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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