KOELLING JOHNSTUN & ASSOCIATES PLLC (NPI# 1578054557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578054557 |
| Entity Type | Organization |
| Organization Name | KOELLING JOHNSTUN & ASSOCIATES PLLC |
| Other Organization Name | TRIAD KIDS DENTAL |
| Practice Address |
2643 Randleman Rd Greensboro NC 27406-5153 |
| Mailing Address |
2761 N Country Club Rd Ste 101 Tucson AZ 85716-2271 |
| Practice Telephone | 3365442758 |
| Practice Fax Number | 9103383031 |
| Mailing Telephone | 5203321902 |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-05-24 |
| Authorized Official Name | JENNIFER HEARNE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 5203321902 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
9846 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1689746232 | 05 |
| Other Name | Type Code |
|---|---|
| Triad Kids Dental | Doing Business As Name - Organization |
| Street Address |
2643 RANDLEMAN RD |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27406-5153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718636 | Brianna Chavis Locklear | Student in an Organized Health Care Education/Training Program | 2643 Randleman Rd, Greensboro, NC 27406-5153 | 2020-04-03 |
| 1932676848 | Roberts & Lo Pllc | Dentist | 2643 Randleman Rd, Greensboro, NC 27406-5153 | 2018-10-29 |
| 1942775390 | Roberts Hoina & Associates Pllc | Dentist | 2643 Randleman Rd, Greensboro, NC 27406-5153 | 2018-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548750201 | Lesia Ann Lancaster | Counselor | 1451 South Elm-eugene Street, Suite 3109, Greensboro, NC 27406 | 2018-05-17 |
| 1538667092 | Brittany T. Price | Specialist/Technologist | 5806 Davis Mill Rd., Greensboro, NC 27406 | 2018-01-30 |
| 1457868168 | Therapyworks Counseling, Pllc | Clinic/Center | 1451 S Elm Eugene St Unit 54, Greensboro, NC 27406 | 2018-01-03 |
| 1548776644 | Brent Douglas Sprinkle | Counselor | 1451 S Elm Eugene St # 3107, Greensboro, NC 27406 | 2017-12-27 |
| 1922537216 | Liam Buckley | Specialist/Technologist | 201 Mcadoo Avenue, Apt 3f, Greensboro, NC 27406 | 2017-06-08 |
| 1669903589 | Reba Siler Kennedy | Specialist | 1325 South Eugene Street, Suite 102, Greensboro, NC 27406 | 2017-03-22 |
| 1811433089 | Lee Street Services LLC | Community/Behavioral Health | 1202 East Mountain St, Unit C, Kernersville, NC 27406 | 2017-01-12 |
| 1811430184 | A & A Health Care Agency, Inc. | Custodial Care Facility | 2600 Kilpatrick-white Rd, Greensboro, NC 27406 | 2016-11-18 |
| 1063877900 | Yolanda Deonne Ector | Rehabilitation Practitioner | 5605 Country Club Rd, Greensboro, NC 27406 | 2015-12-18 |
| 1053785121 | Mamie Turner | Behavioral Analyst | 5202 Olde Forest Dr, Greensboro, NC 27406 | 2015-11-30 |
| Find all providers in zip 27406 | ||||
| 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 |
| 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 |
| 1104218007 | Koelling & Associates Pllc | Dentist | 510 Nicholas Rd, F, Greensboro, NC 27409-3399 | 2015-03-02 |
| 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 | 27406 |
Please comment or provide details below to improve the information on KOELLING JOHNSTUN & 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.