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Benjamin Immerman
Oral and Maxillofacial Surgery (Dentist) in Pinellas Park, Florida
NPI 1437490182

Benjamin Immerman is a Oral and Maxillofacial Surgery (Dentist) based in Wolcott, FL and is specialized in Oral and Maxillofacial Surgery. Benjamin Immerman practices in Pinellas Park, FL. The NPI Number for Benjamin Immerman is 1437490182 and holds a License No. 22DI02809900 (Florida).

The current practice location address for Benjamin Immerman is 4030 Park Blvd N, Pinellas Park, FL and can be reached out via phone at 727-341-5171.

Location: 4030 Park Blvd N, Pinellas Park, FL, 14590-9318
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437490182
Provider Name
Benjamin Immerman
Credential
Provider Entity Type
Individual
Gender
Male
Address
4030 Park Blvd N, Pinellas Park, FL, 14590-9318
Phone Number
727-341-5171
Fax Number
Provider Enumeration Date
03/06/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4030 Park Blvd N
City
Pinellas Park
State
Florida
Zip
33781-3633
Phone Number
727-341-5171
Fax Number
person
Provider Business Mailing Address Details
Address
4030 Park Blvd N
City
Pinellas Park
State
Florida
Zip
33781-3633
Phone Number
727-341-5171
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
22DI02809900 (New Jersey)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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