Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | 11689 | NC |
Y | 208200000X | Surgeon | 2019-02926 | NC |
Y | 208600000X | Surgeon | 2019-02926 | NC |
N | 2086X0206X | Surgical Oncologist | 2019-02926 | NC |
NPI | 1053751594 |
---|---|
Provider Name | Dr. Benjamin Lewis Hechler |
First Address | Durham, NC 27705-3941 |
Second Address | Durham, NC 27710-1511 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2013 |
Last Update Date | 11/10/2021 |