Provider Demographics
NPI:1700125648
Name:DRECHSLER, BENJAMIN DAVID (DMD)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:DAVID
Last Name:DRECHSLER
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 1:1109 W POINSETT ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29650-1318
Mailing Address - Country:US
Mailing Address - Phone:803-627-5245
Mailing Address - Fax:
Practice Address - Street 1:1109 W POINSETT ST
Practice Address - Street 2:SUITE A
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-1318
Practice Address - Country:US
Practice Address - Phone:803-627-5245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-13
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC82031223G0001X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program