Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Benjamin Andrew Kordusky, DDS, MS

Individual provider Prosthodontics · NPI 1417487513

Dr. Benjamin Andrew Kordusky, DDS, MS is a Prosthodontics in Elk Grove, California. Licensed in California and West Virginia. Registered with an NPI since 2017.

Licensed in
CA, WV
In the registry since
2017
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
MS — Master of Science
A graduate science degree.

See every abbreviation used in this directory →

Practice location Address checks out

8415 Elk Grove Blvd Bldg B
Elk Grove, CA 95758-9573
Phone: (916) 755-6213
Fax: (916) 755-6214
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence 106157 (CA)
Prosthodontics Taxonomy 1223P0700X · Licence 4269 (WV)

Record details

NPI number1417487513
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MS
Sole proprietorNo
NPI enumeratedJune 13, 2017
Last updated in NPPESJune 28, 2022
Certification dateJune 28, 2022
Mailing address45 Fairfield Mnr, Morgantown, WV 26505-8011