Benham, Adam W
Benham, Adam W is an individual health care provider with primary practice located at 8504 Boulder River Trl , Mckinney TX 75070-6111. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Benham, Adam W can be contacted via phone (469) 231-6672.Contact Information
Primary practice address
8504 Boulder River Trl
Mckinney TX 75070-6111
Phone: (469) 231-6672
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 22263 | Texas |
| Dental Providers / General Practice | 1223G0001X | 22263 | Texas |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 22263 | Texas |
Profile Details
| NPI number | 1245421205 |
|---|---|
| LBN Legal business name | Benham, Adam W |
| Credentials | DDS MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 6th, 2007 |
| Last updated | Apr 11th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245421205 | NPPES |
| Texas | MEDICAID | 189795101 |
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