Individual
BENJAMIN JARVIS PASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4212 MISSOURI FLAT RD, PLACERVILLE, CA 95667-6269
(530) 621-7700
(530) 621-7713
Mailing address
13325 S ENSIGN POINT LN APT 6204, DRAPER, UT 84020-8002
(208) 803-8613
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
112964
CA
Other
Enumeration date
05/22/2026
Last updated
06/01/2026
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