Individual
DR. BENJAMIN JARVIS SEYMOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
504 HAYNES ST, CADILLAC, MI 49601-1809
(231) 775-6531
(231) 775-6431
Mailing address
504 HAYNES ST, CADILLAC, MI 49601-1809
(231) 775-6531
(231) 775-6431
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29010-19403
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1883242
UNITED CONCORDIA
MI
01
—
4918174
MEDICAID
MI
01
—
4919500
MEDICAID
MI
01
—
4919510
MEDICAID
MI
01
—
D194030
BCBS
MI
Enumeration date
11/22/2006
Last updated
07/30/2008
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