Individual
BENJAMIN SAMUEL SHANKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1348 CHAMBERS RD, FERGUSON, MO 63135-2212
(314) 521-1614
(314) 521-1479
Mailing address
1348 CHAMBERS RD, FERGUSON, MO 63135-2212
(314) 521-1614
(314) 521-1479
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2020021238
MO
Other
Enumeration date
07/28/2020
Last updated
03/26/2025
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