K. KEVIN NESHAT DDS MD PA NPI 1265117725

NPI Information

  • NPI: 1265117725
  • Provider Name: K. KEVIN NESHAT, DDS, MD, PA
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Organization
  • Doing Business As: PRESERVENDO
  • Address: 610 DR CALVIN JONES HWY STE 100
    WAKE FOREST, NC
    ZIP 27587
  • Phone: (919) 336-5230

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NPI Details

K. KEVIN NESHAT, DDS, MD, PA is an endodontics dentist in Wake Forest, NC. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. K. KEVIN NESHAT, DDS, MD, PA NPI is 1265117725. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Preservendo.

The provider's business location address is:

610 DR CALVIN JONES HWY STE 100
WAKE FOREST, NC
ZIP 27587-104
Phone: (919) 336-5230

The provider's authorized official is Gloria Bohne .
The authorized official title is Director Of Rcm and has the following contact phone number (984) 308-0506.

The enumeration date for this NPI number is 6/21/2023 and was last updated on 12/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223E0200XDentistEndodonticsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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