Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124958798 Individual Practitioner Male Practitioner

Dr. Benjamin Jarvis Passey , DDS

Dentist - General Practice • Placerville, CA

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Passey, DDS is a registered healthcare professional specializing in Dentist - General Practice in Placerville, CA. Practice services are available at 4212 MISSOURI FLAT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4212 Missouri Flat Rd

Placerville, CA 956676269

Telephone 5306217700
Fax 5306217713
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Placerville, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
23 Specialists

Practicing in Placerville, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-01
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 112964

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Pamela Namenyi , FNP, PNP

Nurse Practitioner

NPI 1013164771

Family Nurse Practitioner, Pediatric Nurse Practitioner

NPI 1053495424

Doctor of Medicine (M.D.)

Elizabeth Weissbart Wasik , FNP

Nurse Practitioner - Family

NPI 1053894717

Family Nurse Practitioner

Dr. Ashley Witherspoon , DNP, FNP-BC

Nurse Practitioner - Family

NPI 1063100477

Doctor of Nursing Practice, Family Nurse Practitioner (Board Certified)

Raniah Al Bayati

Dentist - General Practice

NPI 1083308563
NPI 1114126927

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 01, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location June 01, 2026

Registered at 4212 MISSOURI FLAT RD, PLACERVILLE, CA 956676269 (Tel: 5306217700)

📍
Updated Business Mailing Address June 01, 2026

Registered at 13325 S ENSIGN POINT LN APT 6204, DRAPER, UT 840208002 (Tel: 2088038613)

👤
Provider Name / Credentials Updated June 01, 2026

Recorded as BENJAMIN PASSEY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2026

Dentist (License #112964 in CA)

🟢
Initial NPI Registration & Enumeration May 22, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124958798
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2026
Last Update: June 01, 2026
Sole Proprietor: No

Mailing Address

13325 S Ensign Point Ln Apt 6204

Draper, UT 840208002

Phone: 2088038613

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.