Dr. Benjamin Andrew Kordusky, DDS, MS
Dr. Benjamin Andrew Kordusky is a Prosthodontics provider (Dentist) practicing in Elk Grove, CA, registered in the NPPES registry with NPI 1417487513 since 2017. The credential DDS stands for Doctor of Dental Surgery.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417487513 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Benjamin Andrew Kordusky |
| Credential | DDS, MS |
| Sex | Male |
| Practice address | 8415 ELK GROVE BLVD BLDG B, Elk Grove, CA, 95758 |
| Phone | 9167556213 |
| Fax | 9167556214 |
| Enumeration date | 2017-06-13 |
| Last updated in NPPES | 2022-06-28 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223P0700X | Prosthodontics | Secondary | 4269 | WV |
| 1223P0700X | Prosthodontics | Primary | 106157 | CA |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Copy-ready billing details
Provider: Benjamin Kordusky, DDS, MS NPI: 1417487513 Taxonomy: 1223P0700X (Prosthodontics) Address: 8415 ELK GROVE BLVD BLDG B, Elk Grove, CA, 95758
Verify this record
Cross-check NPI 1417487513 against the authoritative CMS record: view Dr. Benjamin Andrew Kordusky on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-06-28.