NPI 1063284123 · live from the CMS NPI Registry
Benjamin Koren, DDS Vi PA
Dentist, Orthodontics and Dentofacial Orthopedics in Leland, NC. National Provider Identifier 1063284123, active.
NPI record
| NPI | 1063284123 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 117 Village Rd Ne Ste H, Leland, NC 28451 |
| Practice phone | 910-371-5664 |
| Enumerated | October 23, 2023 |
| Last updated | October 23, 2023 |
| Authorized official | Amanda Groeschel, Director |
| Other names | Leland Orthodontics |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.