Individual
DR. BENJAMIN CLAYTON AITKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
102 N LINCOLN ST, WAUSA, NE 68786-2050
(402) 586-2611
Mailing address
102 N LINCOLN ST, P.O. BOX 183, WAUSA, NE 68786-2050
(402) 586-2611
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6490
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04855
BCBS
NE
05
—
41203343700
—
NE
Enumeration date
07/21/2006
Last updated
07/08/2007
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