BENJAMIN ANDY SHIRLEY (NPI# 1801025770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801025770 |
| Entity Type | Individual |
| Full Name | BENJAMIN ANDY SHIRLEY |
| Credential | DDS |
| Practice Address |
Raf Lakenheath 48 Mdg/sghc Unit 5115 Apo AE 09461-5115 |
| Practice Telephone | 3342268033 |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2018-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
23971 | TX | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 301 Fisher St Bldg 468, Biloxi, MS 395342508 | 2283760511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063648392 | Benjamin Banneker Shirley | Dentist | 16819 Hillside Ave, Jamaica, NY 11432-4340 | 2009-06-01 |
| Street Address |
RAF LAKENHEATH 48 MDG/SGHC UNIT 5115 |
| City | APO |
| State | AE |
| Zip Code | 09461-5115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649266420 | Jessica M. Melchior | Occupational Therapist | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461-5115 | 2005-09-27 |
| 1255964441 | Jessica Renee Aurelius | Physical Therapist | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461-5115 | 2020-02-17 |
| 1679064547 | Victor Sun | Dentist | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461-5115 | 2018-05-25 |
| 1811485105 | Jessica Kathleen Smith | Student in an Organized Health Care Education/Training Program | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461-5115 | 2018-04-23 |
| 1831691088 | Alexandra Marie Lacey | Dietitian, Registered | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461-5115 | 2018-03-05 |
| 1538684808 | Muhammad Ali | Physical Therapist | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461 | 2017-08-08 |
| 1043733496 | Colin Gartner | Dentist | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461-5115 | 2017-07-18 |
| 1285168740 | Daniel William Feather Stern | General Practice | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461-5115 | 2017-04-11 |
| 1942754551 | Katelyn Zeringue | Pharmacist | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461-5115 | 2016-08-11 |
| 1275984965 | Matthew Kirk Smith | Family Medicine | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461-5115 | 2016-06-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205387081 | Joshua Gratz | Military Health Care Provider | 48mdh/sghc Unit 5115, Apo, AE 09461 | 2016-10-17 |
| 1912394776 | Thomas Mark Bertagnoli | Pediatrics | Raf Lakenheath 48mdg, Unit 5115, Apo, AE 09461 | 2015-04-20 |
| 1376710780 | Katherine Jane Waggner | Pharmacist | Raf Lakenheath - Pharmacy, Apo, AE 09461 | 2008-05-14 |
| 1356539985 | Erin Campbell Bott | Physical Therapist | 48 Mdg Unit5210, Box 230, Apo, AE 09461 | 2007-10-09 |
| 1831249614 | Shannon Stewart Enold | Social Worker | 48 Mdg Sgohf, Unit 5210 Box 230, Apo, AE 09461 | 2007-01-12 |
| 1073674008 | Elizabeth Fort Copeland | Social Worker | Raf Lakenheath 48mdg/sghc, Unit 5115, Apo, AE 09461 | 2006-12-13 |
| 1104995109 | Robert Brown Woolley | Internal Medicine | Raf Lakenheath 48 Mdg/sghc Unit 5115, Apo, AE 09461 | 2006-11-06 |
| 1679592299 | Katheryn Willingham Ellis | Registered Nurse | 48 Mdg Sgobp, Unit 5210 Box 230, Apo, AE 09461 | 2006-07-18 |
| 1306885215 | Przemyslaw Konrad Niemczura | Dietitian, Registered | 48 Medical Group, Unit 5210, Apo, AE 09461 | 2006-06-06 |
| 1760450746 | Kathleen King Dobbs | Nurse Practitioner | 48 Mdg Unit 5210, Box 230, Apo, AE 09461 | 2006-03-08 |
| Find all providers in zip 09461 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033255906 | Todd Edward Sumner | Dentist | 1591 Griffin St, Marine Corps Base, 29 Palms, Ca, Apo, AA 92778 | 2007-01-29 |
| 1548222730 | Ronald Edward Prenzel | Dentist | B Co, 121 Csh, Unit 15244, Box 947, Apo, AP 96205 | 2006-04-04 |
| 1750366738 | Jose Miguel Santiago-cummings | Dentist | 618th Dental Company (as), Unit #15652, Apo, AP 96205-5652 | 2005-12-13 |
| 1770808875 | Christopher John Fries | Dentist | 18th Medical Group, Unit 5142, Apo, AP 96368 | 2010-03-31 |
| 1366521312 | Robert I. Delo | Dentist | Unit 6180 Box 245, Apo, AE 09604-0245 | 2006-11-02 |
| 1629054473 | James Eli Vangilder Iv | Dentist | 18th Dental Squadron, Unit 5270, Apo, AP 96368-5270 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417001835 | Uss Dwight D Eisenhower Cvn 69 | Dentist | Uss Dwight Eisenhower, Dental, Fpo, AE 09532 | 2007-01-23 |
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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.