Koren, Benjamin
Koren, Benjamin is an sole proprietor health care provider with primary practice located at 910 S Brightleaf Blvd , Smithfield NC 27577-4388. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Koren, Benjamin can be contacted via phone (919) 934-1333.Contact Information
Primary practice address
910 S Brightleaf Blvd
Smithfield NC 27577-4388
Phone: (919) 934-1333
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6997 | North Carolina |
Profile Details
| NPI number | 1881627750 |
|---|---|
| LBN Legal business name | Koren, Benjamin |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881627750 | NPPES |
| North Carolina | MEDICAID | 89016HP | |
| North Carolina | MEDICAID | 89902CA | |
| North Carolina | Other | 902TU |
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