Individual
DR. BENJAMIN E SAMUELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
5564 GROVE BLVD STE A, HOOVER, AL 35226-4601
(205) 988-9678
Mailing address
5564 GROVE BLVD STE A, HOOVER, AL 35226-4601
(205) 988-9678
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6358C1
AL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6358C1
AL
Other
Enumeration date
07/25/2017
Last updated
09/12/2023
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