| 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 |
|---|---|
| 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 |
|---|---|
| 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 | |
Karleigh Bullard, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1515 W Cornwallis Dr Ste 120, Greensboro, NC 27408 Phone: 336-586-5011 | |
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 Miller, DMD Dentist Medicare: Medicare Enrolled Practice Location: 5408 W Friendly Ave, Greensboro, NC 27410 Phone: 336-292-0411 |