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 |
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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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