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Benjamin Robert Abt, DMD,MD
Oral and Maxillofacial Surgery (Dentist) in Prescott, Arizona
NPI 1568697654

Benjamin Robert Abt is a Oral and Maxillofacial Surgery (Dentist) based in Prescott, AZ and is specialized in Oral and Maxillofacial Surgery. Benjamin Robert Abt practices in Prescott, AZ and has the professional credentials of DMD,MD. The NPI Number for Benjamin Robert Abt is 1568697654 and holds a License No. (Arizona).

The current practice location address for Benjamin Robert Abt is 5415 Distinction Way, Prescott, AZ and can be reached out via phone at 928-350-8045.

Location: 5415 Distinction Way, Prescott, AZ, 86301-8438
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568697654
Provider Name
Benjamin Robert Abt
Credential
DMD,MD
Provider Entity Type
Individual
Gender
Male
Address
5415 Distinction Way, Prescott, AZ, 86301-8438
Phone Number
928-350-8045
Fax Number
Provider Enumeration Date
05/19/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5415 Distinction Way
City
Prescott
State
Arizona
Zip
86301-8438
Phone Number
928-350-8045
Fax Number
person
Provider Business Mailing Address Details
Address
5415 Distinction Way
City
Prescott
State
Arizona
Zip
86301-8438
Phone Number
928-350-8045
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
5793 (Alabama)
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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