KINTEGRA FAMILY DENTISTRY - LINCOLNTON - NPI 1568092658

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

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About Kintegra Family Dentistry - Lincolnton NPPES

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

KINTEGRA FAMILY DENTISTRY - LINCOLNTON (NPI 1568092658) is a healthcare organization registered as a federally qualified health center (fqhc) in Lincolnton, North Carolina and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through February 4, 2028 and lists Sharmila Alexander Anderson, Business Service Admin, as its authorized official.

NPPES Registry Identity

NPI1568092658

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameGASTON FAMILY HEALTH SERVICES, INC

Location Address111 DOCTORS PARKLincolnton, NC 28092

Mailing Address991 W Hudson BlvdGastonia, NC 28052-6430 · (704) 735-2230 · Fax (704) 671-1404

Phone(704) 735-2230

Fax(704) 671-1404

Organization SubpartYes

Authorized OfficialSharmila Alexander AndersonBusiness Service Admin · (704) 874-1907

Enumeration DateJanuary 17, 2020

Last NPPES UpdateFebruary 18, 20202 updates tracked since enumeration

✔ NPI 1568092658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

111 DOCTORS PARK, Lincolnton, NC 28092

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Other Names 1

Doing Business AsKintegra Family Dentistry - Lincolnton

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2298585

Kintegra Family Dentistry - Lincolnton · Lincolnton, NC

Active · expires Feb 4, 2028

CLIA Number34D2298585

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateFebruary 5, 2026

Certificate Expiration DateFebruary 4, 2028

Laboratory DirectorDr. Shirley Ocloo

Laboratory Phone(704) 874-1954

Laboratory LocationKintegra Family Dentistry - Lincolnton111 Doctors Park, Lincolnton, NC 28092

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DR. RICHARD RAYMOND PENCE DDS MAGD

Dentist (General Practice)