Provider Demographics
NPI:1164653044
Name:TURNWALD, BENJAMIN PAUL (DDS)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:PAUL
Last Name:TURNWALD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 S ROSELLE RD FL 2
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-2975
Mailing Address - Country:US
Mailing Address - Phone:847-450-3852
Mailing Address - Fax:847-310-9097
Practice Address - Street 1:435 S ROSELLE RD FL 2
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193-2975
Practice Address - Country:US
Practice Address - Phone:847-450-3852
Practice Address - Fax:847-310-9097
Is Sole Proprietor?:No
Enumeration Date:2009-07-27
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.028091122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist