MATTHEW KOSTELIC DMD
NPI 1972097251
Dentist - General Practice in Clemmons, NC

Q: What is Matthew Kostelic's NPI number?

The NPI number for Matthew Kostelic is 1972097251. It was assigned to this individual provider in the NPPES registry on June 19, 2018.

Q: What is Matthew Kostelic's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Matthew Kostelic was last updated on July 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 19, 2018

2265 LEWISVILLE CLEMMONS RD STE A, CLEMMONS, NC 27012(336) 577-1583 Get Directions Write a Review

NPPES record last updated: July 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2021, Jun 19, 2018 (2 updates tracked since 2018).

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About Matthew Kostelic Dmd NPPES

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

MATTHEW KOSTELIC DMD (NPI 1972097251) is an individual general practice provider in Clemmons, North Carolina, licensed in North Carolina (11043) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1972097251

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameMATTHEW KOSTELICCredential: DMD

Location Address2265 LEWISVILLE CLEMMONS RD STE AClemmons, NC 27012-7459

Mailing Address2265 Lewisville Clemmons Rd Ste AClemmons, NC 27012-7459 · (336) 577-1583

Phone(336) 577-1583

Sole ProprietorYes

Enumeration DateJune 19, 2018

Last NPPES UpdateJuly 7, 20212 updates tracked since enumeration

NPPES CertifiedJuly 7, 2021

✔ NPI 1972097251 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 · 11043

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.

2265 LEWISVILLE CLEMMONS RD STE A, Clemmons, NC 27012

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Other Providers at the Same Location NPPES

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

KOSTELIC & ASSOCIATES, PLLC

Clinic/Center (Dental)

2265 LEWISVILLE CLEMMONS RD STE A
CLEMMONS, NC 27012

Forsyth County (336) 577-1583

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 Matthew Kostelic's NPI number?

The NPI number for Matthew Kostelic is 1972097251. It was assigned to this individual provider in the NPPES registry on June 19, 2018.

Where is Matthew Kostelic located?

Matthew Kostelic practices at 2265 Lewisville Clemmons Rd Ste A, Clemmons, NC 27012. The listed phone number is (336) 577-1583.

What is Matthew Kostelic'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 Matthew Kostelic was last updated on July 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.