Kilcollin Dental Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3856 Issued in WV

Legal business name

KILCOLLIN DENTAL INC.

Practice address

1393 Jefferson St N
Lewisburg, WV 24901-2212

Phone

(304) 772-3333

NPI assigned

Oct 14, 2016

Organization subpart

No

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

Authorized official

Name

Katherine L. Kilcollin, D.D.S.

Title

President

Phone

(304) 645-3883

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1154872182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1393 JEFFERSON ST N",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249012212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1393 JEFFERSON ST N",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249012212",
            "telephone_number": "304-772-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILCOLLIN DENTAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "KILCOLLIN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-645-3883",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "3856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah June Keffer, DO
• Christopher Paul Kennedy, DO
• Mary Kesecker
• Amanda Kessinger
• Catherine Sue Kessinger
• Drema Mae Kincaid
• Justin Kincaid
• Debra King
• Linda King, M.S., CCC-SLP
• Hanno W Kirk, LICSW, PHD

• General Practice Dentistry in Lewisburg, WV
• Providers in Lewisburg, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.