DR. KERRY P COGBURN D.D.S. P.A.
NPI 1063441616
Dentist - General Practice in Clyde, NC

Active since July 03, 2006
418 JONES COVE RD, CLYDE, NC 28721(828) 627-9285(828) 627-9287 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kerry P Cogburn D.d.s. P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KERRY P COGBURN D.D.S. P.A. (NPI 1063441616) is an individual general practice provider in Clyde, North Carolina, licensed in North Carolina (3906) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1063441616
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KERRY P COGBURNCredential: D.D.S. P.A.
Location Address418 JONES COVE RDClyde, NC 28721-9458
Mailing Address272 Stoney Brook DrClyde, NC 28721-8537 · (828) 627-6412
Fax(828) 627-9287
Sole ProprietorYes
Enumeration DateJuly 3, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1063441616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NC · 3906
Definition
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.
418 JONES COVE RD, Clyde, NC 28721

Other Identifiers 2

Medicare UPINT63944NC
Medicaid8991701NC

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
418 JONES COVE RD
CLYDE, NC 28721
Dentist (General Practice)
418 JONES COVE RD
CLYDE, NC 28721

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kerry Cogburn's NPI number?

The NPI number for Kerry Cogburn is 1063441616. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Kerry Cogburn located?

Kerry Cogburn practices at 418 Jones Cove Rd, Clyde, NC 28721. The listed phone number is (828) 627-9285.

What is Kerry Cogburn's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Kerry Cogburn accept?

Health plans from Delta Dental of North Carolina list Kerry Cogburn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kerry Cogburn was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.