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DENTAL CENTER OF THE CAROLINAS
NPI 1932611092
Dentist - General Practice in Winston Salem, NC

Active since October 30, 2017
4550 COUNTRY CLUB RD, WINSTON SALEM, NC 27104(333) 766-7966(877) 840-4367 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2023, Mar 17, 2018, Oct 30, 2017 (3 updates tracked since 2017).

About Dental Center Of The Carolinas NPPES

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

DENTAL CENTER OF THE CAROLINAS (NPI 1932611092) is a healthcare organization registered as a general practice in Winston Salem, North Carolina and active in the NPI registry since October 2017. The organization maintains a secondary practice location in Greensboro and lists Andrew Wayne Kelly, Owner/ Manager, as its authorized official.

NPPES Registry Identity

NPI1932611092
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameA W KELLY DDS PLLC
Location Address4550 COUNTRY CLUB RDWinston Salem, NC 27104-3518
Mailing Address137 N Hiddenbrooke DrAdvance, NC 27006-7299 · (336) 766-7966
Phone(333) 766-7966
Fax(877) 840-4367
Organization SubpartNo
Authorized OfficialAndrew Wayne KellyOwner/ Manager · (336) 766-7966
Enumeration DateOctober 30, 2017
Last NPPES UpdateAugust 14, 20233 updates tracked since enumeration
NPPES CertifiedAugust 14, 2023
✔ NPI 1932611092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NC · 07350
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.
4550 COUNTRY CLUB RD, Winston Salem, NC 27104
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Other Names 1

Doing Business AsDental Center Of The Carolinas

Secondary Practice Location 1

Location 15509B W Friendly Ave Ste 200Greensboro, NC 27410-4279 · Phone (336) 500-0422 · Fax (336) 294-0735

Other Identifiers 1

Medicaid1992888242NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

HYUNG WON LEE
Dentist
4550 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 281-0927
DR. KEVIN TRONG PHUNG DDS
Dentist (General Practice)
4550 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 542-2184
GODEL & ASSOCIATES PLLC
Dentist (General Practice)
4550 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 738-0111

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 A W Kelly Dds PLLC's NPI number?

The NPI number for A W Kelly Dds PLLC is 1932611092. It was assigned to this organization in the NPPES registry on October 30, 2017. The provider is doing business as Dental Center Of The Carolinas.

Where is A W Kelly Dds PLLC located?

A W Kelly Dds PLLC is located at 4550 Country Club Rd, Winston Salem, NC 27104. The listed phone number is (333) 766-7966.

What is A W Kelly 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 A W Kelly Dds PLLC was last updated on August 14, 2023. 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.