Individual provider · Type 1 NPI

Andrew Lee Benjamin Jr., DDS

Oral and Maxillofacial Surgery (Dentist) · Upper Marlboro, MD

NPI number 1255957023 Active

Practice location

9632 Marlboro Pike
Upper Marlboro, MD 20772-3767

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112X0438000519 (VA)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X17892 (MD)

Oral and Maxillofacial Surgery (Dentist): 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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About NPI 1255957023

Andrew Lee Benjamin Jr., DDS's National Provider Identifier is 1255957023, issued on Jun 17, 2020. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Upper Marlboro, MD. The record was last updated on Jan 20, 2025.