KELLY RACHELLE ZUKAITIS


Address: 991 W Hudson Blvd, Gastonia, NC 28052-6430
Phone: 7048525294

KELLY RACHELLE ZUKAITIS (NPI# 1255337150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255337150
Entity Type Individual
Full Name KELLY RACHELLE ZUKAITIS
Credential DDS
Practice Address 991 W Hudson Blvd
Gastonia
NC 28052-6430
Practice Telephone 7048525294
Practice Fax Number 7048535269
Mailing Telephone 7048525294
Mailing Fax Number 7048535269
Enumeration Date 2005-06-24
Last Update Date 2012-02-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
6708 NC Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 90026 05

Office Location

Street Address 991 W HUDSON BLVD
City GASTONIA
State NC
Zip Code 28052-6430

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295731271 Aregai Abay Girmay Family Medicine 991 W Hudson Blvd, Gastonia, NC 28052-6430 2005-06-23
1669001293 Alice Faith Horton Registered Nurse 991 W Hudson Blvd, Gastonia, NC 28052-6430 2020-04-06
1013543461 Sheiva Mills Registered Nurse 991 W Hudson Blvd, Gastonia, NC 28052-6430 2020-03-18
1508402504 Lakisha Goodson Registered Nurse 991 W Hudson Blvd, Gastonia, NC 28052-6430 2019-11-25
1568005601 Christine A Golien Registered Nurse 991 W Hudson Blvd, Gastonia, NC 28052-6430 2019-10-22
1609424431 Kierstin N Webb Nurse Practitioner 991 W Hudson Blvd, Gastonia, NC 28052-6430 2019-08-26
1588210892 Angela Smith King Registered Nurse 991 W Hudson Blvd, Gastonia, NC 28052-6430 2019-08-13
1396391603 Keely Currin Registered Nurse 991 W Hudson Blvd, Gastonia, NC 28052-6430 2019-08-13
1922669449 Michael Victor Feathers Dentist 991 W Hudson Blvd, Gastonia, NC 28052-6430 2019-06-25
1790344679 Jessica Davida Shamberger Dentist 991 W Hudson Blvd, Gastonia, NC 28052-6430 2019-06-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053859488 Aa Plus Family Care Services, LLC Custodial Care Facility 190- B South Street, Gastonia, NC 28052 2017-02-06
1487028098 Stefanie Mann Counselor 165 West Franklin Blvd., Gastonia, NC 28052 2015-11-19
1659771343 Latisha Marsh Pharmacist 233 North Myrtle School, Gastonia, NC 28052 2014-08-29
1730598616 Erin Flitt Nurse Practitioner 425 North Marietta Street, Gastoni, NC 28052 2014-08-05
1568877199 Ebony Kyerra Kennedy Pharmacist 2206 West Franklin Blvd, Gastonia, NC 28052 2014-06-23
1821364209 Harcharan Singh Ophthalmology 111 E.third Avenue, Gaston Family Medical Center, Gastonia, NC 28052 2012-03-29
1437475365 Evelyn B Mcgill Counselor 102 N Yates Street, Gastonia, NC 28052 2010-04-16
1568696680 Fafli Inc Community/Behavioral Health 175 W. Main Avenue, Gaston County, NC 28052 2009-05-04
1558570630 Peggy May Currie Physical Therapist 710 Marietta St., Suite B, Gastonia, NC 28052 2007-05-22
1275753352 John Theodore Fox Dentist 601 S York St, Gastonia, NC 28052 2007-04-30
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538191960 Charles William Connor Jr. Dentist 1146 N New Hope Rd, Gastonia, NC 28054-2959 2006-07-07
1679004584 Laetitia I. Sery, Dds, Pllc Dentist 1367 E Garrison Blvd Ste B, Gastonia, NC 28054-5144 2017-03-22
1972920676 Jessica Simon Dentist 890 Summit Crossing Pl, Gastonia, NC 28054-2192 2014-03-20
1922438977 Rdest Dds Pllc II Dentist 1367 E Garrison Blvd Ste B, Gastonia, NC 28054-5144 2013-11-12
1457637621 White Smiles Dentist 3044 E Franklin Blvd, Suite 4, Gastonia, NC 28056-5400 2011-11-01
1982835831 Jonathan R Kaczmarski Dentist 890 Summit Crossing Pl, Gastonia, NC 28054-2192 2009-07-27
1922240969 Ashley Blacktree Dentist 890 Summit Crossing Pl, Gastonia, NC 28054-2192 2009-04-06
1801939699 Pediatric Dentistry and Orthodontics Dentist 1146 N New Hope Rd, Gastonia, NC 28054-2959 2007-02-14
1700936069 Rebecca Burack Gross Dentist 1146 N New Hope Rd, Gastonia, NC 28054-2959 2007-01-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1912507468 S Vakil Dds Ms IIi Pa Dentist 181 N Main St Ste 202, Mooresville, NC 28115-2525 2020-10-26
1538787718 John M. Bakarich, Dds, Pllc Dentist 15810 Northcross Drive, Suite A, Huntersville, NC 28078 2020-07-14
1942820105 David E Thome Dds Pllc X Dentist 7856 Village Ctr N, Sherrills Ford, NC 28673-9413 2020-04-17
1689293706 Alterman Dhillon and Associates Dentist 9648 Chapel Hill Rd Ste 100, Morrisville, NC 27560-7846 2020-04-09
1457982852 Miguel Angel Simancas-pallares Dentist 228 Brauer Hall Cb#7450, Chapel Hill, NC 27599-0001 2020-02-04
1396388096 Thome & Kankash Dds Pllc I Dentist 401 Attain St Ste 111, Fuquay Varina, NC 27526-2702 2019-10-25
1104469808 David E Thome Dds Pllc Ix Dentist 5641 Poplar Tent Rd Ste 201, Concord, NC 28027-7588 2019-10-25
1154981371 Bevin K Malle Dds Pa II Dentist 9817 Suzanne Ct., Suite B, Waxhaw, NC 28173-8848 2019-06-19
1740849744 Riccobene & Associates Xxx, Dds, P.a. Dentist 8203 Market St Bldg B, Wilmington, NC 28411-9389 2019-06-12
1609337930 Jean Kontos Ginnis Dentist Manning Drive & S Columbia Street, Chapel Hill, NC 27599-0001 2019-03-28
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Competitor

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City GASTONIA
Zip Code 28052

Improve Information

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Dataset Information

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.

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