Active NPI
William Ko DDS, MPH and Mark Pcolinsky DMD , PA
- Dentist
- Knightdale, NC
National Provider Identifier
1013147909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8020
- Legal business name
- WILLIAM KO DDS, MPH AND MARK PCOLINSKY DMD , PA
- Practice address
- 7124 Knightdale Blvd
Knightdale, NC 27545-9265 - Phone
- (919) 217-4411
- Fax
- (919) 217-4420
- NPI assigned
- Jul 26, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Paul Pcolinsky, DMD
- Title
- Dentist/Owner
- Phone
- (919) 217-4411
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8020 | NC | Primary |
| Dentist | 122300000X | 7711 | NC |
Addresses
Primary practice location
7124 Knightdale Blvd
Knightdale, NC 27545-9265
Mailing address
7124 Knightdale Blvd
Knightdale, NC 27545-9265
Phone (919) 217-4411
Other names 1
- Smiles Of Carolina
National Provider Directory
National Provider DirectoryLocations
7124 US Highway 64 E
Knightdale, NC 27545
Phone (919) 266-6211
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Knightdale, NC
- NPI 1124012141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728259200000",
"number": "1013147909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7124 KNIGHTDALE BLVD",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275459265",
"telephone_number": "919-217-4411",
"fax_number": "919-214-4420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7124 KNIGHTDALE BLVD",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275459265",
"telephone_number": "919-217-4411",
"fax_number": "919-217-4420"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM KO DDS, MPH AND MARK PCOLINSKY DMD , PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-26",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A",
"authorized_official_last_name": "PCOLINSKY",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "919-217-4411",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "NC",
"license": "8020",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "NC",
"license": "7711",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Smiles Of Carolina",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Knightdale, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.