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NICKOLAS A. KEPHART DDS PLLC
NPI 1225684079
Dentist - General Practice in Winston Salem, NC

Active since August 16, 2019
3165 MAPLEWOOD AVE, WINSTON SALEM, NC 27103(336) 760-9840(336) 760-9841 Get Directions Write a Review

NPPES record last updated: August 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nickolas A. Kephart Dds Pllc NPPES

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

NICKOLAS A. KEPHART DDS PLLC (NPI 1225684079), doing business as Ardmore Dentistry, is a healthcare organization registered as a general practice in Winston Salem, North Carolina and active in the NPI registry since August 2019. The organization lists Nickolas Andrew Kephart, Owner, as its authorized official.

NPPES Registry Identity

NPI1225684079
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNICKOLAS A. KEPHART DDS PLLC
Location Address3165 MAPLEWOOD AVEWinston Salem, NC 27103-3919
Mailing Address3165 Maplewood AveWinston Salem, NC 27103-3919 · (336) 760-9840 · Fax (336) 760-9841
Phone(336) 760-9840
Fax(336) 760-9841
Organization SubpartNo
Authorized OfficialNickolas Andrew KephartOwner · (336) 760-9840
Enumeration DateAugust 16, 2019
✔ NPI 1225684079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
3165 MAPLEWOOD AVE, Winston Salem, NC 27103
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Other Names 1

Doing Business AsArdmore Dentistry

Other Identifiers 2

Other1427494350NC · Npi
Other1154559318VA · Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

DR. KENNETH R PHILLIPS DDS
Dentist (General Practice)
3165 MAPLEWOOD AVE
WINSTON SALEM, NC 27103
Forsyth County (336) 760-9840
DR. NICKOLAS ANDREW KEPHART D.D.S.
Dentist (General Practice)
3165 MAPLEWOOD AVE
WINSTON SALEM, NC 27103
Forsyth County (336) 760-9840

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 Nickolas A. Kephart Dds PLLC's NPI number?

The NPI number for Nickolas A. Kephart Dds PLLC is 1225684079. It was assigned to this organization in the NPPES registry on August 16, 2019. The provider is doing business as Ardmore Dentistry.

Where is Nickolas A. Kephart Dds PLLC located?

Nickolas A. Kephart Dds PLLC is located at 3165 Maplewood Ave, Winston Salem, NC 27103. The listed phone number is (336) 760-9840.

What is Nickolas A. Kephart Dds PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Nickolas A. Kephart Dds PLLC was last updated on August 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.