Kenneth Glenn Auman, DDS
Individual provider Active NPI Dentist · Lexington, NC
NPI 1164640694 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164640694
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- NC 5260 (NC)
- Practice address
- 242 N Talbert Blvd
Lexington, NC 27292-4143 - Phone
- (336) 249-2908
- Fax
- (336) 248-6468
- NPI assigned
- Apr 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NC 5260 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaylan B. Myers-Massey, DDS, PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | NC 5260 | NC | Yes |
Addresses
Primary practice location
242 N Talbert Blvd
Lexington, NC 27292-4143
Mailing address
242 N Talbert Blvd
Lexington, NC 27292-4143
Phone (336) 249-2908
Other providers in Lexington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.