Organization
KENNETH J. BENSON, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH J. BENSON DDS (OWNER)
(919) 387-3388
Entity
Organization
Contact information
Practice address
2081 SHEPERDS VINEYARD DR, APEX, NC 27502-6410
(919) 387-3388
(919) 387-0070
Mailing address
2081 SHEPERDS VINEYARD DR, APEX, NC 27502-6410
(919) 387-3388
(919) 387-0070
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
6621
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6621
DENTAL LICENSE
NC
05
—
89022VT
—
NC
01
—
902VT
BCBS
NC
Enumeration date
09/12/2006
Last updated
08/22/2020
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