KOSTELIC & ASSOCIATES, PLLC
NPI 1154187920
Clinic/Center - Dental in Clemmons, NC

Active since February 28, 2024
2265 LEWISVILLE CLEMMONS RD STE A, CLEMMONS, NC 27012(336) 577-1583 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kostelic & Associates, Pllc NPPES

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

KOSTELIC & ASSOCIATES, PLLC (NPI 1154187920), doing business as Clemmons Village Smiles, is a healthcare organization registered as a dental in Clemmons, North Carolina and active in the NPI registry since February 2024. The organization lists Matthew Kostelic, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1154187920
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameKOSTELIC & ASSOCIATES, PLLC
Location Address2265 LEWISVILLE CLEMMONS RD STE AClemmons, NC 27012-7459
Mailing Address2265 Lewisville Clemmons Rd Ste AClemmons, NC 27012-7459 · (336) 577-1583
Organization SubpartNo
Authorized OfficialMatthew KostelicOwner/manager · (336) 577-1583
Enumeration DateFebruary 28, 2024
Last NPPES UpdateMarch 5, 2024
NPPES CertifiedMarch 5, 2024
NPI 1154187920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2265 LEWISVILLE CLEMMONS RD STE A, Clemmons, NC 27012

Other Names 1

Doing Business AsClemmons Village Smiles

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
2265 LEWISVILLE CLEMMONS RD STE A
CLEMMONS, NC 27012

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 Kostelic & Associates, PLLC's NPI number?

The NPI number for Kostelic & Associates, PLLC is 1154187920. It was assigned to this organization in the NPPES registry on February 28, 2024. The provider is doing business as Clemmons Village Smiles.

Where is Kostelic & Associates, PLLC located?

Kostelic & Associates, PLLC is located at 2265 Lewisville Clemmons Rd Ste A, Clemmons, NC 27012. The listed phone number is (336) 577-1583.

What is Kostelic & Associates, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Kostelic & Associates, PLLC was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.