Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BENJAMIN KELLUM, DDS
Active Sole ProprietorDR. BENJAMIN KELLUM, DDS is a Dentist healthcare provider located in POCATELLO, Idaho. NPI 1225481930 is currently active in the NPPES registry. Verify at CMS.
Dentist · POCATELLO, ID
Registration Details
- NPI Number
- 1225481930
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 18, 2016 (10.061416694136 yrs)
- Last Updated
- Jul 18, 2016
- License
-
D4772 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
IDAHO STATE UNIVERSITYPOCATELLO, ID, 832090001Browse ID providers · Browse ZIP 83209
- Phone
- 2082823289
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in POCATELLO, ID
| Name | Credential | NPI |
|---|---|---|
| GREGORY E ROMRIELL | D.M.D. | 1477667335 |
| DR. DUANE J WILLIAMS | DMD | 1023194206 |
| DR. LEE R. REDDISH | D.D.S. | 1386716041 |
| DR. WILLIAM JARED TERRY | DMD | 1093876328 |
| DR. PAUL A GAGNON | D.M.D. | 1699811463 |
| DR. THERESA LYNN MCKINNEY | D.D.S. | 1285831123 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.