Provider Demographics
NPI:1487762589
Name:KASEFF, BENJAMIN M (DMD)
Entity type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:M
Last Name:KASEFF
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 1:6417 BRANCH HILL GUINEA PK
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140
Mailing Address - Country:US
Mailing Address - Phone:513-683-4800
Mailing Address - Fax:513-683-0488
Practice Address - Street 1:6417 BRANCH HILL GUINEA PK
Practice Address - Street 2:SUITE 101
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140
Practice Address - Country:US
Practice Address - Phone:513-683-4800
Practice Address - Fax:513-683-0488
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH207601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice