Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Benjamin Banneker Shirley, DDS

Individual provider Dentist · NPI 1063648392

Dr. Benjamin Banneker Shirley, DDS is a Dentist in Jamaica, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

16819 Hillside Ave
Jamaica, NY 11432-4340
Phone: (718) 291-1420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 054338 (NY)

Record details

NPI number1063648392
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 1, 2009
Last updated in NPPESJune 1, 2009

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