DR. BENJAMIN ANDREW KORDUSKY DDS MS NPI 1417487513

NPI Information

NPI: 1417487513
Provider Name: DR. BENJAMIN ANDREW KORDUSKY, DDS, MS
Classification: Dentist - 1223P0700X
Entity Type: Individual

Specialization: Prosthodontics

Address:
8415 ELK GROVE BLVD BLDG B
ELK GROVE, CA
ZIP 95758
Phone: (916) 755-6213
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DR. Benjamin Andrew Kordusky, DDS, MS is a prosthodontics dentist in Elk Grove, CA. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. DR. Benjamin Andrew Kordusky, DDS, MS NPI is 1417487513. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8415 ELK GROVE BLVD BLDG B
ELK GROVE, CA
ZIP 95758-573
Phone: (916) 755-6213
Fax: (916) 755-6214

The enumeration date for this NPI number is 6/13/2017 and was last updated on 6/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0700X	Dentist	Prosthodontics	4269	WEST VIRGINIA	No
2	1223P0700X	Dentist	Prosthodontics	106157	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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