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DR. BENJAMIN JACOB SCHLOTT D.M.D M.D. NPI 1891938296


NPI Information

NPI: 1891938296
Provider Name: DR. BENJAMIN JACOB SCHLOTT, D.M.D , M.D.
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
3555 COLLEGE AVE
ALTON, IL
ZIP 62002
Phone: (618) 462-1646
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DR. Benjamin Jacob Schlott, D.M.D , M.D. is an oral and maxillofacial surgery dentist in Alton, IL with 20 years of experience. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Benjamin Jacob Schlott, D.M.D , M.D. NPI is 1891938296. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SOUTHERN ILLINOIS UNIV SCHOOL OF DENTAL MEDICINE
Graduation Year:2004

The provider's business location address is:

3555 COLLEGE AVE
ALTON, IL
ZIP 62002-009
Phone: (618) 462-1646
Fax: (618) 462-5211

The NPI 1891938296 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Biopsy of single growth of skin and/or tissue (HCPCS:11100)

The enumeration date for this NPI number is 4/14/2009 and was last updated on 12/2/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice019026421ILLINOISNo
21223S0112XDentistOral and Maxillofacial Surgery2011013340MISSOURINo
3122300000XDentistDTP602FLORIDANo
41223S0112XDentistOral and Maxillofacial SurgeryDTP602FLORIDANo
5204E00000XOral & Maxillofacial Surgery2011022969MISSOURINo
6204E00000XOral & Maxillofacial Surgery036140395ILLINOISNo
71223S0112XDentistOral and Maxillofacial Surgery021002736ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11891938296MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.