DR. KENNETH ALEXANDER POOLE DMD NPI 1376576207

NPI Information

NPI: 1376576207
Provider Name: DR. KENNETH ALEXANDER POOLE, DMD
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Individual
PECOS Registration: Yes
Address: 2835 HORSE PEN CREEK RD STE 106
GREENSBORO, NC
ZIP 27410
Phone: (336) 662-0807

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NPI Details

DR. Kenneth Alexander Poole, DMD is a general practice dentist in Greensboro, NC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Kenneth Alexander Poole, DMD NPI is 1376576207. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2835 HORSE PEN CREEK RD STE 106
GREENSBORO, NC
ZIP 27410-700
Phone: (336) 662-0807
Fax: (336) 662-0828

The NPI 1376576207 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/7/2006 and was last updated on 7/9/2007.

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	1223G0001X	Dentist	General Practice	6081	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	810-41	OTHER	ALABAMA	BCBS OF ALABAMA
2	8996986	MEDICAID	NORTH CAROLINA
3	V0068	OTHER	TEXAS	BCBS OF TEXAS
4	864646	OTHER	PENNSYLVANIA	PENN. BLUE SHIELD
5	40706	OTHER	TENNESSEE	BCBS OF TENN.
6	96986	OTHER	NORTH CAROLINA	BCBS PROVIDER #

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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