Provider Demographics
NPI:1285918649
Name:AREHEART, BENJAMIN LEE (DMD)
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:LEE
Last Name:AREHEART
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 SUFFOLK LN
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-1167
Mailing Address - Country:US
Mailing Address - Phone:843-298-1668
Mailing Address - Fax:
Practice Address - Street 1:1562 CONSTITUTION BLVD STE 101
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-3540
Practice Address - Country:US
Practice Address - Phone:803-328-3886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-04
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7007122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist