PURPLE TOOTH DENTAL
NPI 1841955945
Clinic/Center - Dental in Mt Holly, NC

Active since November 03, 2021
112 WOODLAWN AVE, MT HOLLY, NC 28120(704) 885-2266 Get Directions Write a Review

NPPES record last updated: November 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Purple Tooth Dental NPPES

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

PURPLE TOOTH DENTAL (NPI 1841955945) is a healthcare organization registered as a dental in Mt Holly, North Carolina and active in the NPI registry since November 2021. The organization lists Andy Mancini, Ceo, as its authorized official.

NPPES Registry Identity

NPI1841955945
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePURPLE TOOTH DENTAL
Location Address112 WOODLAWN AVEMt Holly, NC 28120-1775
Mailing Address112 Woodlawn AveMt Holly, NC 28120-1775 · (704) 885-2266
Organization SubpartNo
Authorized OfficialAndy ManciniCeo · (704) 885-2266
Enumeration DateNovember 3, 2021
Last NPPES UpdateNovember 6, 2021
NPPES CertifiedNovember 6, 2021
NPI 1841955945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
112 WOODLAWN AVE, Mt Holly, NC 28120

Other Names 1

Other NameJonathan Rainier Kaczmarski Dmd, Pllc

Other Identifiers 1

Medicaid1982835831NC

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.

Family Medicine
112 WOODLAWN AVE
MT HOLLY, NC 28120
Dentist
112 WOODLAWN AVE
MOUNT HOLLY, NC 28120

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 Purple Tooth Dental's NPI number?

The NPI number for Purple Tooth Dental is 1841955945. It was assigned to this organization in the NPPES registry on November 3, 2021. The provider is also known as Jonathan Rainier Kaczmarski DMD, PLLC.

Where is Purple Tooth Dental located?

Purple Tooth Dental is located at 112 Woodlawn Ave, Mt Holly, NC 28120. The listed phone number is (704) 885-2266.

What is Purple Tooth Dental'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 Purple Tooth Dental was last updated on November 6, 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.