STATESVILLE AMY KINLAW PLLC
NPI 1629730130
Dentist - Pediatric Dentistry in Statesville, NC

Active since October 12, 2021
1316 DAVIE AVE STE C, STATESVILLE, NC 28677(828) 635-9200 Get Directions Write a Review

NPPES record last updated: October 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Statesville Amy Kinlaw Pllc NPPES

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

STATESVILLE AMY KINLAW PLLC (NPI 1629730130), doing business as Iredell Pediatric Dentistry, is a healthcare organization registered as a pediatric dentistry in Statesville, North Carolina and active in the NPI registry since October 2021. The organization lists Karol Manchola, Regional Manager, as its authorized official.

NPPES Registry Identity

NPI1629730130
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSTATESVILLE AMY KINLAW PLLC
Location Address1316 DAVIE AVE STE CStatesville, NC 28677-3561
Mailing Address167 1st Ave SwTaylorsville, NC 28681-2639 · (828) 635-9200
Organization SubpartNo
Authorized OfficialKarol MancholaRegional Manager · (828) 635-9200
Enumeration DateOctober 12, 2021
NPPES CertifiedOctober 12, 2021
NPI 1629730130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1316 DAVIE AVE STE C, Statesville, NC 28677

Other Names 1

Doing Business AsIredell Pediatric Dentistry

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

Accepted Insurance

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 Statesville Amy Kinlaw PLLC's NPI number?

The NPI number for Statesville Amy Kinlaw PLLC is 1629730130. It was assigned to this organization in the NPPES registry on October 12, 2021. The provider is doing business as Iredell Pediatric Dentistry.

Where is Statesville Amy Kinlaw PLLC located?

Statesville Amy Kinlaw PLLC is located at 1316 Davie Ave Ste C, Statesville, NC 28677. The listed phone number is (828) 635-9200.

What is Statesville Amy Kinlaw PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Statesville Amy Kinlaw PLLC accept?

Health plans from UnitedHealthcare list Statesville Amy Kinlaw PLLC 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 Statesville Amy Kinlaw PLLC was last updated on October 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.