Kerry a. Dove, DMD Ms, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

8845 Issued in NC

Legal business name

KERRY A. DOVE, DMD MS, PLLC

Doing business as

Concord Pediatric Dentistry

Practice address

5641 Poplar Tent Rd
Concord, NC 28027-7533

Phone

(704) 795-2300

Fax

(704) 795-2301

NPI assigned

Sep 30, 2014

Organization subpart

No

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

Authorized official

Name

Kerry Anzenberger Dove, DMD MS

Title

Pediatric Dentist

Phone

(704) 795-2300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Concord Pediatric Dentistry Doing business as

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1245633650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5641 POPLAR TENT RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280277533",
            "telephone_number": "704-795-2300",
            "fax_number": "704-795-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5641 POPLAR TENT RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280277533",
            "telephone_number": "704-795-2300",
            "fax_number": "704-795-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRY A. DOVE, DMD MS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "DOVE",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "ANZENBERGER",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "704-795-2300",
        "authorized_official_credential": "DMD MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "8845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942430939",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concord Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kerr Drug Inc
• Kerr Drug Inc
• Cynthia Kerr, LCAS
• Katrina Shanta Kerr, MSW
• Kerrr Homes Incorporated
• Anita Kesar
• Farzaneh Keshmiri, DDS, PA
• Rama Devi Kethu, PT
• Maria Ketron
• Kevin L Golden DMD PLLC

• Pediatric Dentistry in Concord, NC
• Providers in Concord, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.