MACON COLLIE PRETZER KORNSTEIN AND HICKS DDS NPI 1306894597

NPI Information

NPI: 1306894597
Provider Name: MACON, COLLIE, PRETZER, KORNSTEIN AND HICKS DDS
Classification: Dentist - 1223P0221X
Specialization: Pediatric Dentistry
Entity Type: Organization
Doing Business As: WAKE ORTHODONTICS & PEDIATRIC DENTISTRY
Address: 7401 CREEDMOOR RD
RALEIGH, NC
ZIP 27613
Phone: (919) 848-3588

Map and Directions

Get Directions

NPI Details

MACON, COLLIE, PRETZER, KORNSTEIN AND HICKS DDS is a pediatric dentistry dentist in Raleigh, NC. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. MACON, COLLIE, PRETZER, KORNSTEIN AND HICKS DDS NPI is 1306894597. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wake Orthodontics & Pediatric Dentistry.

The provider's business location address is:

7401 CREEDMOOR RD
RALEIGH, NC
ZIP 27613-640
Phone: (919) 848-3588
Fax: (919) 846-3550

The provider's authorized official is Linda Tarantino .
The authorized official title is Practice Manager and has the following contact phone number (919) 719-1780.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 10/5/2023.

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
1	1223P0221X	Dentist	Pediatric Dentistry	2934	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6367	OTHER	NORTH CAROLINA	ROBERT A. MORAN JR. DDS
2	8578	OTHER	NORTH CAROLINA	TRAVIS M. HICKS, DDS
3	90106	OTHER	NORTH CAROLINA	STEPHEN C. PRETZER - BCBS
4	12624	OTHER	NORTH CAROLINA	KATHRYN E. DUNDERVILL DDS
5	7712	OTHER	NORTH CAROLINA	DAVID J. KORNSTEIN, DDS

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI