NPI 1063540987

John P. Benjamin, DDS

Practitioner General Practice Dentistry Alexandria, LA

Practice location

Address: 1432 Peterman Dr, Alexandria, LA 71301-3432
Phone: (318) 442-9613
Fax: (318) 442-9902

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 3249 (LA)

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Registry record

NPI: 1063540987
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.