CREEDMOOR FAMILY DENTISTRY
NPI 1336170042
Dentist in Creedmoor, NC

Active since July 05, 2006
110 W CHURCH ST, CREEDMOOR, NC 27522(919) 528-4004(919) 528-2211 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Creedmoor Family Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CREEDMOOR FAMILY DENTISTRY (NPI 1336170042) is a healthcare organization registered as a dentist in Creedmoor, North Carolina and active in the NPI registry since July 2006. The organization lists Benjamin Victor Koren, Owner, as its authorized official.

NPPES Registry Identity

NPI1336170042
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameBENJAMIN KOREN, D.D.S. III. P.A,
Location Address110 W CHURCH STCreedmoor, NC 27522-9747
Mailing Address110 W Church StCreedmoor, NC 27522-9747 · (919) 528-4004 · Fax (919) 528-2211
Fax(919) 528-2211
Organization SubpartNo
Authorized OfficialBenjamin Victor KorenOwner · (919) 528-4004
Enumeration DateJuly 5, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1336170042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in NC · 6997
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
110 W CHURCH ST, Creedmoor, NC 27522

Other Names 1

Doing Business AsCreedmoor Family Dentistry

Other Identifiers 2

Medicaid5902042NC
Other017JWNC · Bcbs Group Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
110 W CHURCH ST
CREEDMOOR, NC 27522
Dentist
110 W CHURCH ST
CREEDMOOR, NC 27522
Dentist (General Practice)
110 W CHURCH ST
CREEDMOOR, NC 27522

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Koren, D.D.S. III. P.A,'s NPI number?

The NPI number for Benjamin Koren, D.D.S. III. P.A, is 1336170042. It was assigned to this organization in the NPPES registry on July 5, 2006. The provider is doing business as Creedmoor Family Dentistry.

Where is Benjamin Koren, D.D.S. III. P.A, located?

Benjamin Koren, D.D.S. III. P.A, is located at 110 W Church St, Creedmoor, NC 27522. The listed phone number is (919) 528-4004.

What is Benjamin Koren, D.D.S. III. P.A,'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Benjamin Koren, D.D.S. III. P.A, accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Benjamin Koren, D.D.S. III. P.A, as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Benjamin Koren, D.D.S. III. P.A, was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.