Provider Demographics
NPI:1013134691
Name:DREKSLER, BENJAMIN W (DDS)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:W
Last Name:DREKSLER
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 1:3343 CRESCENT ST
Mailing Address - Street 2:PRIVATE ENTRANCE
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-3857
Mailing Address - Country:US
Mailing Address - Phone:718-274-3121
Mailing Address - Fax:718-274-8060
Practice Address - Street 1:3343 CRESCENT ST
Practice Address - Street 2:PRIVATE ENTRANCE
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11106-3857
Practice Address - Country:US
Practice Address - Phone:718-274-3121
Practice Address - Fax:718-274-8060
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0340321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice