Organization Active NPI

William Ko DDS, MPH and Mark Pcolinsky DMD , PA

  • Dentist
  • Knightdale, NC
National Provider Identifier
1013147909
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8020 Issued in NC
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

Updated by the provider on Oct 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark Paul Pcolinsky, DMDNPI 1124012141
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)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 8020 NC Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.