BLAKE KINGSBURY DMD PLLC (NPI# 1740522333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740522333 |
| Entity Type | Organization |
| Organization Name | BLAKE KINGSBURY DMD PLLC |
| Other Organization Name | GODEL FAMILY DENTISTRY |
| Practice Address |
2557 Pembroke Rd 2557 Pembroke Rd Gastonia NC 28054-4712 |
| Mailing Address |
2557 Pembroke Rd Gastonia NC 28054-4712 |
| Practice Telephone | 7048548887 |
| Practice Fax Number | 7048548893 |
| Mailing Telephone | 7048548887 |
| Mailing Fax Number | 7048548893 |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2013-03-21 |
| Authorized Official Name | DR. BLAKE CARSON KINGSBURY (DENTIST) |
| Authorized Official Telephone | 7048548887 |
| Authorized Official Credential | D.M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | DENTAL | 1831338276 | 01 |
| Other Name | Type Code |
|---|---|
| Godel Family Dentistry | Doing Business As Name - Organization |
| Street Address |
2557 PEMBROKE RD 2557 PEMBROKE RD |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-4712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629130091 | Alan Abraham Godel | Dentist | 2557 Pembroke Rd, Gastonia, NC 28054 | 2006-12-14 |
| 1447875885 | Matthew Benjamin Drake | Dentist | 2557 Pembroke Rd, Gastonia, NC 28054-4712 | 2020-06-11 |
| 1710538418 | Dr. Cameron and Associates of Gastonia, Pllc | Dentist | 2557 Pembroke Rd, Gastonia, NC 28054-4712 | 2019-09-24 |
| 1508306762 | Molly Danielle Briggs | Dentist | 2557 Pembroke Rd, Gastonia, NC 28054-4712 | 2017-03-06 |
| 1558733410 | Gastonia Family Dentistry | Dentist | 2557 Pembroke Rd, Gastonia, NC 28054-4712 | 2015-10-30 |
| 1275889719 | Kristen White Welborne | Dentist | 2557 Pembroke Rd, Gastonia, NC 28054-4712 | 2012-08-02 |
| 1366736274 | William Ward Pope | Dentist | 2557 Pembroke Rd, Gastonia, NC 28054-4712 | 2011-06-08 |
| 1750585154 | Alan A. Godel, D.d.s. | Dentist | 2557 Pembroke Rd, Gastonia, NC 28054-4712 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
| Find all providers in zip 28054 | ||||
| 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 |
|---|---|---|---|---|
| 1326659897 | Ganglani Dmd Pllc | Dentist | 2205 E Franklin Blvd Ste 110, Gastonia, NC 28054-4984 | 2020-08-10 |
| 1780158295 | Lowry & Lowry, Dmd, Pa | Dentist | 210 Willow St, Gastonia, NC 28054-7116 | 2019-01-17 |
| 1396251948 | A. K. Richardson and Asssociates, P.a. | Dentist | 2924 E Franklin Blvd Ste 3, Gastonia, NC 28056-9448 | 2017-12-19 |
| 1518497049 | Aigin Masoomi | Dentist | 2641 Court Dr # B, Gastonia, NC 28054-1478 | 2017-06-18 |
| 1154693455 | G Abrams and R Cohen IIi PC | Dentist | 401 Cox Rd, 188, Gastonia, NC 28054-0647 | 2012-02-01 |
| 1427326867 | G. Abrams & R. Cohen Iv PC | Dentist | 117 N Myrtle School Rd, Suite 170, Gastonia, NC 28052-1394 | 2011-12-13 |
| 1144515800 | Diana S Bass | Dentist | 219b Wilmot Dr, Gastonia, NC 28054-4048 | 2011-06-10 |
| 1326226176 | John A. Lyons, Dds, Pa | Dentist | 816 E Franklin Blvd, Gastonia, NC 28054-4241 | 2008-02-04 |
| 1477691509 | Bruce Williamson Miller | Dentist | 3100 Pineridge Ln, Gastonia, NC 28056-7092 | 2007-02-01 |
| 1700932134 | Vaughan Tyrone Hendrix5 | Dentist | 2925 Audrey Dr, Gastonia, NC 28054-7269 | 2007-01-26 |
| Find all providers in GASTONIA | ||||
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| 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.