DR. BENJAMIN JACOB SCHLOTT D.M.D M.D. NPI 1891938296

NPI Information

NPI: 1891938296
Provider Name: DR. BENJAMIN JACOB SCHLOTT, D.M.D , M.D.
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
3555 COLLEGE AVE
ALTON, IL
ZIP 62002
Phone: (618) 462-1646
Get Directions

DR. Benjamin Jacob Schlott, D.M.D , M.D. is an oral and maxillofacial surgery dentist in Alton, IL with 20 years of experience. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Benjamin Jacob Schlott, D.M.D , M.D. NPI is 1891938296. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SOUTHERN ILLINOIS UNIV SCHOOL OF DENTAL MEDICINE
Graduation Year:2004

The provider's business location address is:

3555 COLLEGE AVE
ALTON, IL
ZIP 62002-009
Phone: (618) 462-1646
Fax: (618) 462-5211

The NPI 1891938296 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/14/2009 and was last updated on 12/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	019026421	ILLINOIS	No
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	2011013340	MISSOURI	No
3	122300000X	Dentist		DTP602	FLORIDA	No
4	1223S0112X	Dentist	Oral and Maxillofacial Surgery	DTP602	FLORIDA	No
5	204E00000X	Oral & Maxillofacial Surgery		2011022969	MISSOURI	No
6	204E00000X	Oral & Maxillofacial Surgery		036140395	ILLINOIS	No
7	1223S0112X	Dentist	Oral and Maxillofacial Surgery	021002736	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1891938296	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »