Dr. Benjamin Andrew Kordusky, DDS, MS
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?
Practice location Address checks out
8415 Elk Grove Blvd Bldg BElk Grove, CA 95758-9573
Phone: (916) 755-6213
Fax: (916) 755-6214
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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 number | 1417487513 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DDS , MS |
| Sole proprietor | No |
| NPI enumerated | June 13, 2017 |
| Last updated in NPPES | June 28, 2022 |
| Certification date | June 28, 2022 |
| Mailing address | 45 Fairfield Mnr, Morgantown, WV 26505-8011 |