Individual
DR. KENNETH J. BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7401 CREEDMOOR RD, RALEIGH, NC 27613-1640
(919) 622-2035
(919) 846-3550
Mailing address
7401 CREEDMOOR RD, RALEIGH, NC 27613-1640
(919) 622-2035
(919) 846-3550
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6621
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6621
DELTA DENTAL
NC
05
—
89022VT
—
NC
01
—
902VT
BCBSNC
NC
Enumeration date
05/13/2006
Last updated
11/18/2019
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