Provider Demographics
NPI:1114010881
Name:TURNER, DAVID BENJAMIN (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:BENJAMIN
Last Name:TURNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2987 ROUTE 22A
Mailing Address - Street 2:
Mailing Address - City:SHOREHAM
Mailing Address - State:VT
Mailing Address - Zip Code:05770-9728
Mailing Address - Country:US
Mailing Address - Phone:802-897-7000
Mailing Address - Fax:802-897-7718
Practice Address - Street 1:71 ALLEN ST
Practice Address - Street 2:SUITE 403
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-4570
Practice Address - Country:US
Practice Address - Phone:802-772-4414
Practice Address - Fax:802-772-7973
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT042-0011579207Q00000X
NHRT-1357207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1015238Medicaid
VTY400296504Medicare PIN