Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENJAMIN M PRIDEMORE JR., DDS
Active Sole ProprietorBENJAMIN M PRIDEMORE JR., DDS is a Orthodontics healthcare provider located in ROME, Georgia. NPI 1336153592 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · ROME, GA
Registration Details
- NPI Number
- 1336153592
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2006 (20.067978283622 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DN007095 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
23 JOHN MADDOX DR NWROME, GA, 301651413Browse GA providers · Browse ZIP 30165
- Phone
- 7062340877
- Fax
- 7062325327
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in ROME, GA
| Name | Credential | NPI |
|---|---|---|
| JOSEPH KENT VARGO | DMD MS PC | 1710057088 |
| DR. RYAN JEFFERY COX | DMD | 1982900817 |
| DR. WILLIAM BENNETT | DMD | 1386087500 |
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.