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DOUGLAS A KELLOGG DDS PA NPI 1730351917


NPI Information

NPI: 1730351917
Provider Name: DOUGLAS A KELLOGG DDS PA
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2733 HORSE PEN CREEK RD
SUTIE 107
GREENSBORO, NC
ZIP 27410
Phone: (336) 854-9270
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DOUGLAS A KELLOGG DDS PA is a dental clinic center in Greensboro, NC. DOUGLAS A KELLOGG DDS PA NPI is 1730351917. The provider is registered as an organization entity type.

The provider's business location address is:

2733 HORSE PEN CREEK RD
SUTIE 107
GREENSBORO, NC
ZIP 27410-399
Phone: (336) 854-9270
Fax: (336) 854-5628

The provider's authorized official is Douglas Alan Kellogg .
The authorized official title is President and has the following contact phone number (336) 854-9270.

The enumeration date for this NPI number is 3/28/2008 and was last updated on 3/28/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDentalYes

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: 4/28/2024

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