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Contact Information

BENJAMIN CVENGROS, DDS
2113 E. STATE ROAD 163
CLINTON, IN47842
 Phone: 765-832-7741
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for BENJAMIN CVENGROS · (Male)

NPI # 1336828045
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/12/2023
Last updated 07/12/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 12014164A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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