Benjamin Patrick Sowle, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.032153 Issued in IL

Practice address

1401 N Allen St
Robinson, IL 62454-1003

Phone

(618) 546-1544

NPI assigned

Jun 4, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mid-Illinois Dental Clinic, LLC

  • Dental Clinic/Center
  • Taylorville, IL
  • NPI 1144830621
  NPD Authorized official
• Robinson Family Dental Clinic PC

  • Dentist
  • Robinson, IL
  • NPI 1801907555
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1265090260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 PEACHTREE DR",
            "city": "CHATHAM",
            "state": "IL",
            "postal_code": "626298058",
            "telephone_number": "217-414-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N ALLEN ST",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "624541003",
            "telephone_number": "618-546-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOWLE",
        "first_name": "BENJAMIN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.032153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Snyder, DPT, PT
• South Eastern Illinois Counseling Center Inc
• South Eastern Illinois Counseling Center Inc
• Southeastern Il Counseling CTRS Inc.
• Andrew Cary Sowle, DMD
• Beth Sprague, BS
• Mandy Stafford, CCC-SLP
• Pete D Stavrides, MD
• Stephen M. Lathrop
• Norie Lynn Stephens-Bilyew, LCSW

• General Practice Dentistry in Robinson, IL
• Providers in Robinson, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.