Benjamin Atlas, DDS
Dentist, General Practice in Camp Lejeune, NC. Individual provider (NPI-1).
NPI number1457877458
StatusActive
Last updated in NPPESJun 14, 2022
Details
- NPI
- 1457877458
- Entity type
- Individual (NPI-1)
- Name
- Benjamin Atlas
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 21, 2017
- Certification date
- Jun 10, 2022
- Last updated
- Jun 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 12691 | NC | Yes |
| 122300000X | Dentist | DDS101670 | CA |
Practice location
100 Brewster BlvdCamp Lejeune, NC 28547-2575
Phone 760-519-4801
Mailing address
34800 Bob Wilson DrSan Diego, CA 92134-5000
Other practice locations
36014 Wratten Dr
Fort Hood, TX 76544
Fort Hood, TX 76544
Phone 760-519-4801
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All 38 General Practice Dentistry providers in Camp Lejeune · All 1,440 providers in Camp Lejeune
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