Provider Demographics
NPI:1518792324
Name:KRUMAN, BENJAMIN SAMUEL (DDS)
Entity type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:SAMUEL
Last Name:KRUMAN
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 1:983 S THOMPSON RD APT 319
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-8323
Mailing Address - Country:US
Mailing Address - Phone:248-259-5799
Mailing Address - Fax:
Practice Address - Street 1:1399 YGNACIO VALLEY RD STE 2
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-2830
Practice Address - Country:US
Practice Address - Phone:707-225-7338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-03
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1106721223X2210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X2210XDental ProvidersDentistOrofacial Pain