| Kenneth J. Benson, Dds | |
|
2081 Sheperds Vineyard Dr Apex NC 27502-6410 | |
| (919) 387-3388 | |
| (919) 387-0070 |
| Full Name | Kenneth J. Benson, Dds |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Pathology |
| Location | 2081 Sheperds Vineyard Dr, Apex, North Carolina |
| Authorized Official Name and Position | Kenneth J. Benson (OWNER) |
| Authorized Official Contact | 9193873388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth J. Benson, Dds 2081 Sheperds Vineyard Dr Apex NC 27502-6410 Ph: (919) 387-3388 | Kenneth J. Benson, Dds 2081 Sheperds Vineyard Dr Apex NC 27502-6410 Ph: (919) 387-3388 |
| NPI Number | 1205930765 |
|---|---|
| Provider Enumeration Date | 09/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205930765 | NPI | - | NPPES |
| 902VT | Other | NC | BCBS |
| 89022VT | Medicaid | NC | |
| 6621 | Other | NC | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | 6621 (North Carolina) | Primary |
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