MARY T BENJAMIN (NPI# 1790743870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790743870 |
| Entity Type | Individual |
| Full Name | MARY T BENJAMIN |
| Credential | DDS |
| Practice Address |
15 S Clayton St Lawrenceville GA 30045-5715 |
| Mailing Address |
Po Box 897 2570 Riverside Parkway Lawrenceville GA 30046-0897 |
| Practice Telephone | 7703394283 |
| Practice Fax Number | 7702795983 |
| Mailing Telephone | 7703394260 |
| Mailing Fax Number | 7709636322 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
DN010144 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619251295 | Mary C Benjamin | Social Worker | 39w408 W Burnham Ln, Geneva, IL 60134-4892 | 2011-09-30 |
| 1801066824 | Mary Elisabeth Benjamin | Specialist | 11223 Lockwood Dr, Silver Spring, MD 20901-4554 | 2008-03-05 |
| 1396142345 | Mary Benjamin | Counselor | 109 W 7th St, Wilmington, DE 19801-2236 | 2014-11-19 |
| 1619091444 | Mary K Benjamin | Social Worker | 291 Main St, Suite 10, Milford, MA 01757 | 2007-03-19 |
| 1295716587 | Mary Emelee Benjamin | Family Medicine | 65 Medical Park Blvd, Suite 104, Pineville, LA 71360-8428 | 2005-11-14 |
| Street Address |
15 S CLAYTON ST |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045-5715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497720601 | Rita C Skelton | Nurse Practitioner | 15 S Clayton St, Lawrenceville, GA 30045-5715 | 2006-02-21 |
| 1720135890 | Charles S Speir | Nurse Practitioner | 15 S Clayton St, Lawrenceville, GA 30045-5715 | 2007-01-04 |
| 1932262490 | Karen S Mcgee | Dietitian, Registered | 15 S Clayton St, Lawrenceville, GA 30045-5715 | 2006-12-18 |
| 1154388700 | Vicki L Waits | Dentist | 15 S Clayton St, Lawrenceville, GA 30045-5715 | 2006-04-27 |
| 1609841543 | Anne D Wright | Nurse Practitioner | 15 S Clayton St, Lawrenceville, GA 30045-5715 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
| 1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
| 1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
| 1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| Find all providers in zip 30045 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205167962 | Dana E Nelson Witherspoon | Dentist | 2000 Riverside Parkway, Suite 200, Great Expressions Dental Centers of Georgia, PC, Lawrenceville, GA 30043 | 2010-01-20 |
| 1154388700 | Vicki L Waits | Dentist | 15 S Clayton St, Lawrenceville, GA 30045-5715 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699380840 | Polish Dental Center Alpharetta LLC | Dentist | 4640 Valais Ct Ste 102, Alpharetta, GA 30022-2606 | 2020-09-14 |
| 1275150294 | James Patrick Cook | Dentist | 127 Telfair St Fl 3, Augusta, GA 30901-2590 | 2020-06-26 |
| 1215313044 | Georgia Dental Professionals, PC | Dentist | 6005 Watson Blvd Suite 200, Byron, GA 31008 | 2015-08-04 |
| 1043650377 | F. Allen Shaw | Dentist | 6743 Beaver Trl, Midland, GA 31820-3836 | 2013-07-01 |
| 1578701157 | Allen Michael Vergen | Dentist | 501 N Pierce St, Alma, GA 31510-2445 | 2009-02-04 |
| 1114181138 | Gainesville Dental Group LLC | Dentist | 1026 Thompson Bridge Road, Gainesville, GA 30501-1704 | 2008-07-18 |
| 1326170663 | Jerry Lamar Thomas | Dentist | 128 Martin Luther King Jr Ct, Lagrange, GA 30241-3656 | 2007-03-12 |
| 1376689737 | Grier Godfrey | Dentist | Macon-bibb County Health Department, 171 Emery Highway, Macon, GA 31217 | 2007-01-30 |
| 1033260898 | Janine E. Randall | Dentist | 4199 Paces Ferry Rd Se, Suite D, Atlanta, GA 30339-5750 | 2007-01-16 |
| 1013090307 | Olivia Taylor | Dentist | 1305 Redmond Cir Nw Bldg 614, Rome, GA 30165-1345 | 2006-10-23 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
Please comment or provide details below to improve the information on MARY T BENJAMIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.