Kostelic & Associates 3, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KOSTELIC & ASSOCIATES 3, PLLC

Doing business as

Relax Dental of Burlington

Practice address

2211 Delaney Dr
Burlington, NC 27215-5263

Phone

(336) 226-4714

NPI assigned

Mar 5, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Kostelic, DMD

Title

Owner

Phone

(336) 577-1583

Specialties & licenses 1

Addresses

Other names 1

• Relax Dental of Burlington Doing business as

Locations

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1205693330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 DELANEY DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155263",
            "telephone_number": "336-226-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 DELANEY DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155263",
            "telephone_number": "336-226-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOSTELIC & ASSOCIATES 3, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "KOSTELIC",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-577-1583",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Relax Dental of Burlington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Krista Evans Knight
• Lynde Leigh Knowles-Jonas, MD
• Danielle Koch
• Ruth Petzold Koester, PHD, F(ACHI)
• Sarath Kolluru, MD
• Ryann Koval, LPCA
• Bruce J. Kowalski, M.D.
• David Carl Kowalski, M.D.
• Aaron Krah, LMBT
• Kevin Leo Krasinski, M.D.

• Dental Clinic/Center in Burlington, NC
• Providers in Burlington, NC by specialty
• Dental Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.