KOELLING & ASSOCIATES PLLC (NPI# 1104218007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104218007 |
| Entity Type | Organization |
| Organization Name | KOELLING & ASSOCIATES PLLC |
| Other Organization Name | TRIAD FAMILY DENTAL |
| Practice Address |
510 Nicholas Rd F Greensboro NC 27409-3399 |
| Practice Telephone | 3363879168 |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-08-20 |
| Authorized Official Name | GEOFFREY KOELLING (OWNER) |
| Authorized Official Telephone | 3363879168 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
9846 | NC | Dental Providers |
| Other Name | Type Code |
|---|---|
| Triad Family Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104203579 | Koelling & Associates Pllc | Dentist | 5069 University Pkwy, 11, Winston Salem, NC 27106-6083 | 2015-05-05 |
| Street Address |
510 NICHOLAS RD F |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27409-3399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073136453 | Shima Ghattan | Dentist | 510 Nicholas Rd, Greensboro, NC 27409-3399 | 2020-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609423136 | Ethan Lechner | Social Worker | Holistic Commons, 123 S. Walnut Circle, Greensboro, NC 27409 | 2019-08-20 |
| 1558844340 | Alphonza Faison Jr. | Registered Nurse | 5201 W Market St Ste 108, Greensboro, NC 27409 | 2018-09-08 |
| 1821578410 | Trifecta Transportation Services Inc. | Non-emergency Medical Transport (VAN) | 5617 Hornaday Rd Unit J, Greensboro, NC 27409 | 2018-08-14 |
| 1003393067 | Alonzo Jones | Medical Foods Supplier | 5617 Hornaday Rd, Unit J, Greensboro, NC 27409 | 2018-07-23 |
| 1073065785 | Occupational Health Centers of North Carolina, PC | Clinic/Center | 3306 Edgefield Road, Greensboro, NC 27409 | 2016-10-28 |
| 1184055667 | Novant Medical Group, Inc | Family Medicine | 501 Hickory Branch Road, Greensboro, NC 27409 | 2013-12-09 |
| 1588094478 | James Bassett | Veterinarian | 501 Nicholas Rd., Carolina Veterinary Specialists, Greensboro, NC 27409 | 2013-11-14 |
| 1386813038 | Alex Glenn Tomlinson | Specialist | 142 North Walnut Cir, Apt B, Greensboro, NC 27409 | 2008-02-27 |
| 1477739670 | Angela Marie Odom | Speech-Language Pathologist | 4325-3d Cedarcroft Court, Greensboro, NC 27409 | 2008-01-17 |
| 1538341037 | Meia Deneaca Burke | Counselor | 7900 Triad Center, Suite 350, Greensboro, NC 27409 | 2007-11-27 |
| Find all providers in zip 27409 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467076976 | Vanessa Catherina Knox | Dentist | 4496 Veranda Lake Ct, Greensboro, NC 27409-9244 | 2020-05-31 |
| 1710522065 | Georgia Dental Alliance of Greensboro | Dentist | 1041 Parkside Cmns Ste 104, Greensboro, GA 30642-4519 | 2019-11-11 |
| 1720632946 | Elizabeth B Mcmichael | Dentist | 2321 Battleground Ave, Greensboro, NC 27408-5422 | 2019-07-25 |
| 1609347731 | Thomas J Bagley D.d.s., P.a. | Dentist | 2729 Horse Pen Creek Rd Ste 103, Greensboro, NC 27410-8396 | 2018-12-16 |
| 1063904506 | Jonathan Hunt | Dentist | 5506 W Friendly Ave Ste 101, Greensboro, NC 27410 | 2018-05-31 |
| 1578054557 | Koelling Johnstun & Associates Pllc | Dentist | 2643 Randleman Rd, Greensboro, NC 27406-5153 | 2018-05-24 |
| 1891293205 | Drs Roberts Reimels and Kashyap Pllc | Dentist | 1126 N Church St Ste 102, Greensboro, NC 27401-1035 | 2018-01-31 |
| 1689031783 | M. Thomas Jones Dmd, Pa | Dentist | 5710 W Gate City Blvd Ste R, Greensboro, NC 27407-7047 | 2016-01-20 |
| 1255710646 | Travis Andrew Bell | Dentist | 526 N Elam Ave Ste 201, Greensboro, NC 27403-1132 | 2015-05-19 |
| 1962808238 | Anbec M. Deshield, Dds, Pllc | Dentist | 1307 Lees Chapel Road, Greensboro, NC 27455-2601 | 2014-11-13 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27409 |
Please comment or provide details below to improve the information on KOELLING & ASSOCIATES PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.