Godel Family Dentistry

LBN: Blake Kingsbury Dmd Pllc
Godel Family Dentistry is an health care organization with primary practice located at 2557 Pembroke Rd 2557 Pembroke Rd, Gastonia NC 28054-4712. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Blake Kingsbury Dmd Pllc can be contacted via phone (704) 854-8887, or through Kingsbury, Blake Carson via phone (704) 854-8887.

Contact Information

Primary practice address
2557 Pembroke Rd 2557 Pembroke Rd Gastonia NC 28054-4712
Phone: (704) 854-8887
Fax: (704) 854-8893
Website:
Map and Directions
Authorized official contact:
Name: Kingsbury, Blake Carson Doctor of Dental Medicine (DMD)
Phone: (704) 854-8887

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1740522333
LBN Legal business name Blake Kingsbury Dmd Pllc
DBA Doing business as Godel Family Dentistry
Authorized official Kingsbury, Blake Carson Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2013
Last updated Mar 21st, 2013 - about 11 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740522333 NPPES
North Carolina Other 1831338276 DENTAL

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