# DR. BENJAMIN JACOB SCHLOTT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1891938296
- **Gender:** Man
- **Credential:** D.M.D , M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DTP602 | FL | — |
| 1223G0001X | General Practice Dentistry | 019026421 | IL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 021002736 | IL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 2011013340 | MO | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DTP602 | FL | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 036140395 | IL | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 2011022969 | MO | — |

## Other

- **Enumeration date:** 04/14/2009
- **Last updated:** 12/02/2021