Organization
BENJAMIN KOREN, D.D.S. II. P.A,
Active
Other names
Henderson Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN VICTOR KOREN DDS (OWNER)
(252) 438-7384
Entity
Organization
Contact information
Practice address
560 DABNEY DR, HENDERSON, NC 27536-3946
(252) 438-7384
(252) 492-0994
Mailing address
560 DABNEY DRIVE, SUITE C, HENDERSON, NC 27536
(919) 528-4004
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6997
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017JX
BCBS GROUP NUMBER
NC
05
—
5901684
—
NC
Enumeration date
06/29/2006
Last updated
08/22/2020
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