Individual
BENJAMIN JAMES GROOTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1318 E 6TH AVE, TALLAHASSEE, FL 32303-6506
(850) 877-0215
(850) 942-4310
Mailing address
1305 THOMASWOOD DR, TALLAHASSEE, FL 32308-7915
(850) 386-2400
(850) 386-8181
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN17955
FL
Other
Enumeration date
12/05/2007
Last updated
02/15/2019
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