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Benjamin Jonah Statman

Dentist, Dentist Anesthesiologist Speciality in Columbus, OH. Individual provider (NPI-1).

NPI number1093289647
StatusActive
Last updated in NPPESJul 1, 2022

Details

NPI
1093289647
Entity type
Individual (NPI-1)
Name
Benjamin Jonah Statman
Sex
Male
Sole proprietor
No
Enumeration date
Jan 16, 2019
Certification date
Jul 1, 2022
Last updated
Jul 1, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223D0004X Dentist, Dentist Anesthesiologist Speciality30.026729OHYes
122300000X Dentist30.026729OH
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

1103 Schrock Rd Ste 201
Columbus, OH 43229-1179

Phone 614-401-4415

Mailing address

4486 Baintree Rd
University Heights, OH 44118-3933

Phone 818-618-3663

Other practice locations

151 Westchester Hall
Stony Brook, NY 11794-0001

Phone 631-444-2557 · Fax 631-444-6013

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Other Dental Anesthesiology providers in Columbus, OH

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