MEDICARE: BENJAMIN SCHEIN DDS PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223E0200X	Endodontics	S7-39C	NV

General Provider Information

NPI Number	:	1508067505
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BENJAMIN SCHEIN DDS PC

Provider Business Mailing Address
First Line	:	6950 SMOKE RANCH ROAD
Second Line	:	SUITE 120
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-1301
Country	:	US
Telephone Number	:	702-672-2935
Fax Number	:	702-838-7886

Provider Business Practice Location Address
First Line	:	6950 SMOKE RANCH ROAD
Second Line	:	SUITE 120
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-1301
Country	:	US
Telephone Number	:	702-672-2935
Fax Number	:	702-838-7886

Authorized Official
Title or Position	:	OWNER
Name	:	DR. BENJAMIN G SCHEIN
Credential	:	DDS
Telephone Number	:	702-672-2935

Provider Enumeration Date	:	05/29/2007
Last Update Date	:	08/22/2020

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