Benjamin Immerman

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1437490182

Benjamin Immerman is an Oral and Maxillofacial Surgery (Dentist) in Pinellas Park, Florida. Licensed in Florida and New Jersey. Registered with an NPI since 2013.

Licensed in: FL, NJ
In the registry since: 2013
Specialties on file: 2

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Practice location Address checks out

4030 Park Blvd N
Pinellas Park, FL 33781-3633
Phone: (727) 341-5171

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary)	Taxonomy 1223S0112X · Licence DN26544 (FL)
Oral and Maxillofacial Surgery (Dentist)	Taxonomy 1223S0112X · Licence 22DI02809900 (NJ)

Record details

NPI number	1437490182
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	No
NPI enumerated	March 6, 2013
Last updated in NPPES	November 17, 2021
Certification date	November 17, 2021
Mailing address	5033 Whiskey Hill Rd, Wolcott, NY 14590-9318