Kostelic & Associates 2, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KOSTELIC & ASSOCIATES 2, PLLC

Practice address

1480 Rymco Dr Ste a
Winston Salem, NC 27103-3072

Phone

(336) 725-9580

NPI assigned

Oct 1, 2024

Organization subpart

No

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

Authorized official

Name

Matthew Kostelic, DMD

Title

Owner

Phone

(336) 577-1583

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Austin L Temple III, DDS

  • General Practice Dentistry
  • Winston Salem, NC
  • NPI 1265524540
  NPD (past)

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1316765142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 RYMCO DR STE A",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033072",
            "telephone_number": "336-725-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 RYMCO DR STE A",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033072",
            "telephone_number": "336-725-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOSTELIC & ASSOCIATES 2, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "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_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aryn Elizabeth Kormanis, DO
• John Korona
• Bill Gus Kortesis, M.D.
• Carla Mann Koskinas, PA-C
• Brian R Kosobucki, M.D.
• Phillip Martin Kostelic
• Paul J Kostuchenko, MD
• Shannon Kostuck, MSW, LCSW-A
• Joshua Kota
• Patrick P Koty, PHD

• Dental Clinic/Center in Winston Salem, NC
• Providers in Winston Salem, 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 Oct 1, 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.