Provider Demographics
NPI:1154498806
Name:SCHECHTER, BENJAMIN LAWRENCE (DDS)
Entity type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:LAWRENCE
Last Name:SCHECHTER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10900 EUCLID AVENUE
Mailing Address - Street 2:DENTAL MEDICINE D0A09F
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-4905
Mailing Address - Country:US
Mailing Address - Phone:216-368-3882
Mailing Address - Fax:216-274-9260
Practice Address - Street 1:10900 EUCLID AVENUE
Practice Address - Street 2:DENTAL MEDICINE D0A09F
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-4905
Practice Address - Country:US
Practice Address - Phone:216-368-3882
Practice Address - Fax:216-274-9260
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-014549122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist