Provider Demographics
NPI:1841606209
Name:ATKINS DENTISTRY
Entity Type:Organization
Organization Name:ATKINS DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:B
Authorized Official - Last Name:ATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-303-5990
Mailing Address - Street 1:1000 OLD RALEIGH RD
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-9216
Mailing Address - Country:US
Mailing Address - Phone:919-303-5990
Mailing Address - Fax:919-303-1930
Practice Address - Street 1:1000 OLD RALEIGH RD
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-9216
Practice Address - Country:US
Practice Address - Phone:919-303-5990
Practice Address - Fax:919-303-1930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-07
Last Update Date:2014-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6118122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty