Dental Center Of The Carolinas
LBN: A W Kelly Dds Pllc
Dental Center Of The Carolinas is an health care organization with primary practice located at 4550 Country Club Rd , Winston Salem NC 27104-3518. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
A W Kelly Dds Pllc can be contacted via phone (333) 766-7966, or through Kelly, Andrew Wayne via phone (336) 766-7966.
Contact Information
Primary practice address
4550 Country Club Rd
Winston Salem NC 27104-3518
Phone: (333) 766-7966
Fax: (877) 840-4367
Website:
Authorized official contact:
Name: Kelly, Andrew Wayne Doctor of Dental Surgery (DDS)
Phone: (336) 766-7966
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 07350 | North Carolina |
Profile Details
| NPI number | 1932611092 |
|---|---|
| LBN Legal business name | A W Kelly Dds Pllc |
| DBA Doing business as | Dental Center Of The Carolinas |
| Authorized official | Kelly, Andrew Wayne Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 30th, 2017 |
| Last updated | Aug 14th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932611092 | NPPES |
| North Carolina | MEDICAID | 1992888242 |
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