Benjamin Ryan Shimel
Oral and Maxillofacial Surgeon
111 Deerwood Rd Ste 130
San Ramon
, California 94583-2194
Benjamin Ryan Shimel
Oral and Maxillofacial Surgeon
111 Deerwood Rd Ste 130
San Ramon
, California 94583-2194
(925) 217-4884
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Benjamin Ryan Shimel
- 111 Deerwood Rd Ste 130
- San Ramon, CA
- Zip : 94583-2194
- Phone : (925) 217-4884
Second Address
- Benjamin Ryan Shimel
- 111 Deerwood Rd Ste 130
- San Ramon, CA
- Zip : 94583-2194
- Phone : (925) 217-4884
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 64389 | CA |
National Provider Identifier
| NPI | 1023495637 |
|---|---|
| Provider Name | Benjamin Ryan Shimel |
| First Address | San Ramon, CA 94583-2194 |
| Second Address | San Ramon, CA 94583-2194 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/05/2015 |
| Last Update Date | 02/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.