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DR. BENJAMIN ANDREW KORDUSKY DDS, MS
NPI 1417487513
Dentist - Prosthodontics in Elk Grove, CA

Active since June 13, 2017
8415 ELK GROVE BLVD BLDG B, ELK GROVE, CA 95758(916) 755-6213(916) 755-6214 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Benjamin Andrew Kordusky Dds, Ms NPPES

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

DR. BENJAMIN ANDREW KORDUSKY DDS, MS (NPI 1417487513) is an individual prosthodontics provider in Elk Grove, California, licensed in California (106157) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1417487513
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameDR. BENJAMIN ANDREW KORDUSKYCredential: DDS, MS
Location Address8415 ELK GROVE BLVD BLDG BElk Grove, CA 95758-9573
Mailing Address45 Fairfield MnrMorgantown, WV 26505-8011
Phone(916) 755-6213
Fax(916) 755-6214
Sole ProprietorNo
Enumeration DateJune 13, 2017
Last NPPES UpdateJune 28, 2022
NPPES CertifiedJune 28, 2022
✔ NPI 1417487513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
Licenses✔ Licensed in CA · 106157✔ Licensed in WV · 4269
Definition
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.
8415 ELK GROVE BLVD BLDG B, Elk Grove, CA 95758
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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 Kordusky's NPI number?

The NPI number for Benjamin Kordusky is 1417487513. It was assigned to this individual provider in the NPPES registry on June 13, 2017.

Where is Benjamin Kordusky located?

Benjamin Kordusky practices at 8415 Elk Grove Blvd Bldg B, Elk Grove, CA 95758. The listed phone number is (916) 755-6213.

What is Benjamin Kordusky's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Benjamin Kordusky was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.