DR. KENNETH J. BENSON (NPI# 1326099458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326099458 |
Entity Type | Individual |
Full Name | DR. KENNETH J. BENSON |
Credential | D.D.S. |
Practice Address |
7401 Creedmoor Rd Raleigh NC 27613-1640 |
Practice Telephone | 9196222035 |
Practice Fax Number | 9198463550 |
Mailing Telephone | 9196222035 |
Mailing Fax Number | 9198463550 |
Enumeration Date | 2006-05-13 |
Last Update Date | 2019-11-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
6621 | NC | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | DELTA DENTAL | 6621 | 01 |
NC | 89022VT | 05 | |
NC | BCBSNC | 902VT | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417398280 | Kenneth C Benson | Dentist | 9625 Prominent Pt, Ste 100, Colorado Springs, CO 80924-5004 | 2013-07-09 |
1356882914 | Kenneth J Benson | Specialist | 601 W 1st Ave, 1423, Spokane, WA 99201-3825 | 2017-03-15 |
1083091649 | Kenneth Amir Benson | General Practice | 3051 Garden Ave, San Antonio, TX 78234-7537 | 2015-05-04 |
1811008659 | Kenneth Benson | Emergency Medicine | 830 Washington St, Watertown, NY 13601-4066 | 2006-08-31 |
1871596478 | Kenneth Herbert Benson | Urology | 6102 82nd St, Ste 5, Lubbock, TX 79424-0802 | 2005-05-27 |
Street Address |
7401 CREEDMOOR RD |
City | RALEIGH |
State | NC |
Zip Code | 27613-1640 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588124358 | Arend Klooster Dds II, Pllc | Dentist | 3721 Lynn Rd. #120, Raleigh, NC 27613 | 2019-03-20 |
1205319647 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 9640 Leesville Rd, Raleigh, NC 27613 | 2018-09-12 |
1386137735 | Maitlyn Avery Betts | Specialist/Technologist | 8421 Two Courts Drive, Raleigh, NC 27613 | 2018-06-11 |
1811492382 | Malek & Knight Dds Pa-iil | Dentist | 9201 Leesville Rd Ste 101, Raleigh, NC 27613 | 2018-03-27 |
1285151860 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 13300 Stickland Rd, Raleigh, NC 27613 | 2017-08-24 |
1376072165 | Caitlin Ann Singleton | Dentist | 13220 Strickland Rd Ste 166, Raleigh, NC 27613 | 2017-06-06 |
1508246547 | Jonathan Kent Weisner | Dentist | 13271 Strickland Rd, Raleigh, NC 27613 | 2015-06-04 |
1245620806 | Kimberly Szwed | Nurse Practitioner | 6422 Rosny Road, Raleigh, NC 27613 | 2015-02-03 |
1174957831 | Laurin Ballowe Collier | Pharmacist | 9640 Leesville Road, Raleigh, NC 27613 | 2013-08-29 |
1952655144 | Phillip Colby Smith | Marriage & Family Therapist | 6921 Springcreek Cv Apt 22, Raleigh, NC 27613 | 2012-11-09 |
Find all providers in zip 27613 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750823746 | Nazir Ahmad Dds V Pa | Dentist | 2500 Blue Ridge Rd Ste 201, Raleigh, NC 27607-7515 | 2016-11-08 |
1134482482 | Matthew Robert Holman | Dentist | 5904 Six Forks Rd # 101, Raleigh, NC 27609-3838 | 2012-06-21 |
1720399017 | Eric Deubler Hoverstad | Dentist | 3809 Computer Dr Ste 101, Raleigh, NC 27609-6518 | 2010-07-01 |
1710132030 | Phillip S. Mciver Dds Pa | Dentist | 7920 Acc Blvd., Ste. 130, Raleigh, NC 27617-8744 | 2008-12-01 |
1700967171 | Amandip Kamoh | Dentist | 8305 Falls of Neuse Rd Ste 105, Raleigh, NC 27615-3546 | 2006-10-18 |
1003836321 | John Sunghoon Won | Dentist | 8851 Ellstree Ln Ste 116, Raleigh, NC 27617-2046 | 2006-07-20 |
1609809292 | Anthony Russell Immediata | Dentist | 7101 Creedmoor Rd, Suite 109, Raleigh, NC 27613-1682 | 2006-07-08 |
1952337685 | Mark Franklin Kozacko | Dentist | 6817 Falls of Neuse Rd, Suite 101, Raleigh, NC 27615-5386 | 2006-06-24 |
1194298828 | John S Won Md Pa | Dentist | 8851 Ellstree Ln Ste 116, Raleigh, NC 27617-2046 | 2019-01-04 |
1154820355 | Eric D. Hoverstad, Dds, Pllc | Dentist | 3809 Computer Dr Ste 101, Raleigh, NC 27609-6518 | 2018-02-03 |
Find all providers in RALEIGH |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.