Provider Demographics
NPI:1306838362
Name:LOPKIN, BENJAMIN (DMD)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:
Last Name:LOPKIN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:259 BALDWIN RD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-7505
Mailing Address - Country:US
Mailing Address - Phone:973-541-9992
Mailing Address - Fax:973-541-9956
Practice Address - Street 1:259 BALDWIN RD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-7505
Practice Address - Country:US
Practice Address - Phone:973-541-9992
Practice Address - Fax:973-541-9956
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-16
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI022207001223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ743064206OtherTAX ID NUMBER FOR BUSINES