Provider Demographics
NPI:1619231909
Name:POSTON, BENJAMIN WADE (DMD)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:WADE
Last Name:POSTON
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 1:801 E 66TH ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-4507
Mailing Address - Country:US
Mailing Address - Phone:912-354-8467
Mailing Address - Fax:912-354-8504
Practice Address - Street 1:801 E 66TH ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-4507
Practice Address - Country:US
Practice Address - Phone:912-354-8467
Practice Address - Fax:912-354-8504
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-02
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0144261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice