Weber, Benjamin J

Weber, Benjamin J is an individual health care provider with primary practice located at 1075 Farmington Ave , West Hartford CT 06107-2114. 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 / General Practice. Dental Providers / General Practice is his primary health care specialty. Weber, Benjamin J can be contacted via phone (860) 313-0538.

Contact Information

Primary practice address
1075 Farmington Ave West Hartford CT 06107-2114
Phone: (860) 313-0538
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X 9885 Connecticut

Profile Details

NPI number 1194925099
LBN Legal business name Weber, Benjamin J
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2007
Last updated Feb 4th, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194925099 NPPES
Connecticut MEDICAID 004011136

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