Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154419497 Individual Practitioner Male Practitioner

Dr. Benjamin Craig Cornwall , DDS

Dentist • Detroit, MI

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Cornwall, DDS is a registered healthcare professional specializing in Dentist in Detroit, MI. Practice services are available at 2799 W GRAND BLVD # K8 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, initial hospital care with moderate level of medical decision making, if using time, at least, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2799 W Grand Blvd # K8

Detroit, MI 482022689

Telephone 3139160874

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Detroit, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.7 Yrs
Regional Practice Density
194 Specialists

Practicing in Detroit, MI (3647 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
130 96 $105.18 $77.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
91 91 $463.35 $211.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
78 78 $207.95 $111.57
70355 X-ray of lower jaws, upper jaws and teeth
70 70 $117.33 $10.98
70355 X-ray of lower jaws, upper jaws and teeth
65 65 $119.23 $19.77
77333 Design and construction of intermediate radiation treatment device
17 17 $562.82 $122.68

Medical Specialties & State Licenses

CMS Verified: 2021-03-30
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MI 2901011788

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1073256566
Dr. Nader Wehbi , MD

Student in an Organized Health Care Education/Training Program

NPI 1164362547

Doctor of Medicine (M.D.)

Dr. Paul Corcoran , MD

Surgery - Vascular Surgery

NPI 1740299858

Doctor of Medicine (M.D.)

Dr. Andi Peshkepija , MD

Surgery - Vascular Surgery

NPI 1912347279

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location March 30, 2021

Registered at 2799 W GRAND BLVD # K8, DETROIT, MI 482022689 (Tel: 3139160874)

📍
Updated Business Mailing Address March 30, 2021

Registered at 2799 W GRAND BLVD # K8, DETROIT, MI 482022689 (Tel: 3139160874)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2020

Dentist (License #2901011788 in MI)

📍
Updated Practice Location November 12, 2018

Registered at 1011 N UNIVERSITY AVE, ANN ARBOR, MI 481091078 (Tel: 7349365950)

📍
Updated Business Mailing Address November 12, 2018

Registered at 1011 N UNIVERSITY AVE, ANN ARBOR, MI 481091078 (Tel: 7349365950)

NPI Profile Active June 27, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 27, 2008

Registered at 34405 W 12 MILE RD, SUITE 187, FARMINGTON HILLS, MI 483313391 (Tel: 2485539393)

📍
Updated Business Mailing Address June 27, 2008

Registered at 34405 W 12 MILE RD, SUITE 187, FARMINGTON HILLS, MI 483313391 (Tel: 2485539393)

👤
Provider Name / Credentials Updated June 27, 2008

Recorded as BENJAMIN CORNWALL, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2008

Dentist (License #2901011788 in MI)

🟢
Initial NPI Registration & Enumeration October 11, 2006

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: 1154419497
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2006
Last Update: March 30, 2021
Sole Proprietor: Yes

Mailing Address

2799 W Grand Blvd # K8

Detroit, MI 482022689

Phone: 3139160874

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.