Individual
BENJAMIN JONAH STATMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1103 SCHROCK RD STE 201, COLUMBUS, OH 43229-1179
(614) 401-4415
Mailing address
4486 BAINTREE RD, UNIVERSITY HEIGHTS, OH 44118-3933
(818) 618-3663
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30.026729
OH
1223D0004X
Dental Anesthesiology
Primary
30.026729
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/16/2019
Last updated
07/01/2022
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