Abt, Benjamin Robert

Abt, Benjamin Robert is an individual health care provider with primary practice located at 5415 Distinction Way , Prescott AZ 86301-8438. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Abt, Benjamin Robert can be contacted via phone (928) 350-8045.

Contact Information

Primary practice address
5415 Distinction Way Prescott AZ 86301-8438
Phone: (928) 350-8045
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 5793 Alabama
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 8911 Arizona

Profile Details

NPI number 1568697654
LBN Legal business name Abt, Benjamin Robert
Credentials D.M.D., M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2009
Last updated Sep 8th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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