Individual provider · Type 1 NPI
Benjamin Immerman
Oral and Maxillofacial Surgery (Dentist) · Pinellas Park, FL
NPI number
1437490182
Active
Practice location
4030 Park Blvd N
Pinellas Park, FL 33781-3633
Mailing address
5033 Whiskey Hill Rd
Wolcott, NY 14590-9318
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 22DI02809900 (NJ) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | DN26544 (FL) |
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.
5 other providers at this address
- Angelica Maria Machin HernandezDentist Pinellas Park, FL NPI 1053054882
- Ashley Nati, DMDGeneral Practice Dentistry Pinellas Park, FL NPI 1013367838
- Chandlor Bearden, DMDGeneral Practice Dentistry Pinellas Park, FL NPI 1922678366
- Joshua Richard Burns, DDSDentist Pinellas Park, FL NPI 1811480825
- Vanja Alagic, DMDDentist Pinellas Park, FL NPI 1538699699
About NPI 1437490182
Benjamin Immerman's National Provider Identifier is 1437490182, issued on Mar 6, 2013. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Pinellas Park, FL. The record was last updated on Nov 17, 2021.