Individual
MR. BENJAMIN PATRICK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
321 N BREIEL BLVD, MIDDLETOWN, OH 45042
(513) 424-3971
(513) 422-2902
Mailing address
8808 STONEHILL CT, SPRINGBORO, OH 45066
(937) 825-0382
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22148
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22148
LICENSE
OH
Enumeration date
09/08/2006
Last updated
07/08/2007
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