Individual provider · Type 1 NPI
Benjamin Andrew Kordusky, DDS, MS
Prosthodontics · Elk Grove, CA
NPI number
1417487513
Active
Practice location
8415 Elk Grove Blvd Bldg B
Elk Grove, CA 95758-9573
Fax (916) 755-6214
Mailing address
45 Fairfield Mnr
Morgantown, WV 26505-8011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthodontics | 1223P0700X | 4269 (WV) |
| Prosthodontics Primary | 1223P0700X | 106157 (CA) |
Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
About NPI 1417487513
Benjamin Andrew Kordusky, DDS, MS's National Provider Identifier is 1417487513, issued on Jun 13, 2017. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Elk Grove, CA. The record was last updated on Jun 28, 2022.