Organization
BENJAMIN KOREN, D.D.S.. P.A,
Active
Other names
Smithfield Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN VICTOR KOREN DDS (OWNER)
(919) 528-4004
Entity
Organization
Contact information
Practice address
910 S BRIGHTLEAF BLVD, SMITHFIELD, NC 27577-4388
(919) 934-1333
Mailing address
910 S BRIGHTLEAF BLVD, SMITHFIELD, NC 27577-4388
(919) 934-1333
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6997
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018AC
BCBS GROUP NUMBER
NC
05
—
89015K9
—
NC
Enumeration date
06/22/2006
Last updated
08/22/2020
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