Individual
DR. BENJAMIN KOREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
910 S BRIGHTLEAF BLVD, SMITHFIELD, NC 27577-4388
(919) 934-1333
Mailing address
8120 LLOYD ALLYNS WAY, RALEIGH, NC 27615-4930
(919) 676-2123
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6997
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89016HP
—
NC
05
—
89902CA
—
NC
01
—
902TU
BLUE CROSS & BLUE SHIELD
NC
Enumeration date
07/07/2006
Last updated
07/09/2007
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