Individual
DR. RICHARD MICHAEL BENIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
22201 MOROSS RD STE 155, DETROIT, MI 48236-2152
(313) 499-4775
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
14656
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901014656
MI
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
RB014656
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190F37120
BLUECROSS MEDICAL PIN NUM
MI
01
—
D802670
BLUE CROSS DENTAL
MI
01
—
P103067
BLUE CRSS NETWORK NUMBER
MI
Enumeration date
03/23/2006
Last updated
02/11/2026
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