DR. BENJAMIN JEFFREY CONNOR (NPI# 1396972501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396972501 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN JEFFREY CONNOR |
| Credential | D.D.S. |
| Practice Address |
851 E 5th St Suite 200 Washington MO 63090-3135 |
| Mailing Address |
Po Box 502852 Saint Louis MO 63150-2852 |
| Practice Telephone | 6362398585 |
| Practice Fax Number | 6362398553 |
| Mailing Telephone | 6362398585 |
| Mailing Fax Number | 6362398553 |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2014-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
2009013175 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245210129 | Benjamin I Connor | Physician Assistant | 2700 Court St, Syracuse, NY 13208-3295 | 2006-01-18 |
| Street Address |
851 E 5TH ST SUITE 200 |
| City | WASHINGTON |
| State | MO |
| Zip Code | 63090-3135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790781268 | Michelle L Beumer | Pediatrics | 851 E 5th St, Ste 312, Washington, MO 63090-3130 | 2005-06-21 |
| 1669018602 | Sheila Ann Buesking | Nurse Practitioner | 851 E 5th St, Washington, MO 63090-3135 | 2019-11-25 |
| 1437794898 | Amanda Leanna Martin | Dietitian, Registered | 851 E 5th St, Washington, MO 63090-3135 | 2019-11-08 |
| 1609303460 | Minami Ohta | Counselor | 851 E 5th St, Suite 200, Washington, MO 63090-3135 | 2017-05-11 |
| 1427413467 | Alison Hoglan | Social Worker | 851 E 5th St, Suite 200, Washington, MO 63090-3135 | 2015-12-17 |
| 1760857833 | Jillian Poretti | Dietitian, Registered | 851 E 5th St, Suite 226, Washington, MO 63090-3135 | 2015-12-01 |
| 1942636980 | Mercy Clinic Pain Management, LLC | Anesthesiology | 851 E 5th St, Suite 144, Washington, MO 63090-3135 | 2013-09-23 |
| 1467792523 | Marie Bernice Sander | Nurse Practitioner | 851 E 5th St, Suite 208, Washington, MO 63090-3135 | 2013-02-26 |
| 1215299482 | Deborah Bernice Beste | Nurse Practitioner | 851 E 5th St, Suite 200, Washington, MO 63090-3135 | 2012-06-13 |
| 1801154489 | Feet for Life Centers Inc PC | Podiatrist | 851 E 5th St, #228, Washington, MO 63090-3135 | 2012-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1962975839 | Jennifer Biermann | Pharmacist | 801 E 5th Street, Washington, MO 63090 | 2019-01-03 |
| 1487199733 | Kristen Elaine Cleavelin | Registered Nurse | Mercy Convenient Care, 901 Patients First Drive, Washington, MO 63090 | 2016-12-22 |
| 1699146712 | Washington Community Counseling Center | Community/Behavioral Health | 421 W. 5th Street, Suite 110, Washington, MO 63090 | 2015-10-15 |
| 1598002024 | Americare At Vicotrian Manor of Washington, LLC | Assisted Living Facility | 2701 Rabbit Trail Dr, Washington, MO 63090 | 2013-01-03 |
| 1578824116 | Rhonda Ann Pepmiller | Nurse Practitioner | 851 E 5th St Ste 309, Washington, MO 63090 | 2012-05-30 |
| 1932486032 | Julie Joanne Lynch | Pharmacist | 890 Country Corners, Washington, MO 63090 | 2011-11-03 |
| 1043590839 | Laurie Elizabeth Bryson | Counselor | 102 Elm Street, Suite 204, Washington, MO 63090 | 2011-08-24 |
| 1164737490 | Mohan Mallikarjuna Edupuganti | Internal Medicine | 901 Patients First Dr Ste 2500, Washington, MO 63090 | 2010-08-11 |
| 1154640225 | Nicholas W Frederickson | Internal Medicine | 901 Patients First Drive Suite 3300, Washington, MO 63090 | 2010-05-27 |
| Find all providers in zip 63090 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789272 | Nafatia Noel Benson | Dentist | 4250 Dix St Ne, Washington, DC 20019-3436 | 2019-09-11 |
| 1366797748 | Smile Services, LLC | Dentist | 1100 1st St Se Apt 603, Washington, DC 20003-4712 | 2012-07-20 |
| 1043819683 | North West Dental Care | Dentist | 3114 Georgia Ave Nw, Washington, DC 20010-2902 | 2020-10-24 |
| 1316307986 | Elise Jones | Dentist | 1500 Galen St Se, Washington, DC 20020-4913 | 2016-02-25 |
| 1124143698 | Nicholas Stelios Makrides | Dentist | 320 1st St Nw, Holc Bldg, Room 1000, Washington, DC 20534-0002 | 2007-03-20 |
| 1710001540 | Renee Joskow | Dentist | 2100 2nd St Sw, Room # B732, Washington, DC 20593-0002 | 2007-03-19 |
| 1093879553 | Michele Loraine Parker-lockett | Dentist | 40 Patterson St Ne, Washington, DC 20002-3334 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811348014 | Lea Rich | Dentist | 811a South Business 13 Hwy, Lexington, MO 64067 | 2016-06-29 |
| 1790164762 | Ozark Tri-county Health Care Consortium | Dentist | 3201 S Arrowhead Dr, Independence, MO 64057-1196 | 2015-05-23 |
| 1255626826 | Heartland Outreach Providers, Inc. | Dentist | 18921 E Valley View Pkwy Ste G, Suite 215, Independence, MO 64055-7024 | 2011-06-12 |
| 1487829644 | Phelps County Regional Medical Center | Dentist | 1202 Homelife Drive, Rolla, MO 65401 | 2008-04-28 |
| 1104010255 | Michael Bruce Hogan | Dentist | 108 Cecil St Ste G, Camdenton, MO 65020-7066 | 2007-08-31 |
| 1548469398 | Samantha Jean Sutton | Dentist | 508 W. 76 Hwy, Anderson, MO 64831 | 2007-07-12 |
| 1083836381 | The Tooth Truck Inc. Dba Ronald Mcdonald Care Mobile of The Ozarks | Dentist | 949 E. Primrose, Springfield, MO 65807 | 2007-05-03 |
| 1447384417 | Chyrelle Louann Blount | Dentist | 15479 Us Highway 160, Forsyth, MO 65653 | 2007-03-14 |
| 1386774412 | Area Community Health Emissaries, Inc. | Dentist | 508 W 76 Hwy, Anderson, MO 64831 | 2007-03-07 |
| 1336279470 | Avoyn Forga | Dentist | 508 West 76 Hwy., Anderson, MO 64831 | 2007-03-07 |
| Find all providers with the same taxonomy | ||||
| City | WASHINGTON |
| Zip Code | 63090 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.