Dr Douglas Alan Kellogg, DDS | |
2733 Horse Pen Creek Rd, Suite 107, Greensboro, NC 27410-8399 | |
(336) 854-9270 | |
(336) 854-5628 |
Full Name | Dr Douglas Alan Kellogg |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 2733 Horse Pen Creek Rd, Greensboro, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922142249 | NPI | - | NPPES |
5307 | Other | NC | DENTAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 5307 (North Carolina) | Primary |
Entity Name | East Carolina University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972551919 PECOS PAC ID: 0244143246 Enrollment ID: O20031106000400 |
Mailing Address | Practice Location Address |
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Dr Douglas Alan Kellogg, DDS 2733 Horse Pen Creek Rd, Suite 107, Greensboro, NC 27410-8399 Ph: (336) 854-9270 | Dr Douglas Alan Kellogg, DDS 2733 Horse Pen Creek Rd, Suite 107, Greensboro, NC 27410-8399 Ph: (336) 854-9270 |
Dr. Daniel Ralph Hobbs, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3619 Liberty Rd, Greensboro, NC 27406 Phone: 336-378-1401 Fax: 336-378-0411 | |
Dr. Kayen Kiran Patel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1417 Yanceyville St, Greensboro, NC 27405 Phone: 336-273-9759 | |
Dr. Mark Jay Katz, DDS, MSD Dentist Medicare: Medicare Enrolled Practice Location: 2018 New Garden Rd Ste A, Greensboro, NC 27410 Phone: 336-286-5800 Fax: 336-286-5801 | |
Dominick Joseph Grillo, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2733 Horse Pen Creek Rd Ste 107, Greensboro, NC 27410 Phone: 336-854-9270 | |
Dr. James H. Tanner, D.D.S., M.S. Dentist Medicare: Medicare Enrolled Practice Location: 1602 Benjamin Pkwy, Greensboro, NC 27408 Phone: 336-545-9084 Fax: 336-545-5679 | |
Caitlin Null, DMD Dentist Medicare: Medicare Enrolled Practice Location: 510 Nicholas Rd Ste F, Greensboro, NC 27409 Phone: 336-387-9168 | |
Dr. George E. Hanna, Jr., DDS Dentist Medicare: Medicare Enrolled Practice Location: 612 Pasteur Dr, Ste.101, Greensboro, NC 27403 Phone: 336-292-1990 Fax: 336-292-4738 |