DR. SIERRA ROSE POELSTRA DDS NPI 1497486146

NPI Information

  • NPI: 1497486146
  • Provider Name: DR. SIERRA ROSE POELSTRA, DDS
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: KIECKER DENTAL CLINIC
    2803 MEDICAL CAMPUS DRIVE
    GOLDSBORO, NC
    ZIP 27531
  • Phone: (919) 722-1733

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NPI Details

DR. Sierra Rose Poelstra, DDS is a student in an organized health care education training program in Goldsboro, NC. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Sierra Rose Poelstra, DDS NPI is 1497486146. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

KIECKER DENTAL CLINIC
2803 MEDICAL CAMPUS DRIVE
GOLDSBORO, NC
ZIP 27531-301
Phone: (919) 722-1733

The enumeration date for this NPI number is 6/23/2022 and was last updated on 10/15/2025.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramDEN.00205208COLORADOYes

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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