Provider Demographics
NPI:1255432647
Name:WARNOCK, BEN (DDS)
Entity type:Individual
Prefix:DR
First Name:BEN
Middle Name:
Last Name:WARNOCK
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 1:230 N EASTOWN RD
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45807-2211
Mailing Address - Country:US
Mailing Address - Phone:419-228-2233
Mailing Address - Fax:419-228-8152
Practice Address - Street 1:230 N EASTOWN RD
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45807-2211
Practice Address - Country:US
Practice Address - Phone:419-228-2233
Practice Address - Fax:419-228-8152
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH21413122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist