Organization Active NPI

Jeffrey Kozlowski DDS Leland PLLC

Doing business as Campbell Covington and Icenhour

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Leland, NC
National Provider Identifier
1437957206
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
JEFFREY KOZLOWSKI DDS LELAND PLLC
Doing business as
Campbell Covington and Icenhour
Practice address
1165 E. Cutlar Crossing
Suite 120
Leland, NC 28451
Phone
(910) 251-1100
NPI assigned
Mar 6, 2025
Last updated
Apr 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Stacy Pope
Title
Project Manager
Phone
(616) 283-8867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

1165 E. Cutlar Crossing
Suite 120
Leland, NC 28451

Mailing address

5300 Patterson Ave SE Ste 110
Grand Rapids, MI 49512-9758
Phone (616) 283-8867

Other names 1

  • Campbell Covington and Icenhour Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1437957206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 PATTERSON AVE SE STE 110",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495129758",
            "telephone_number": "616-283-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 E. CUTLAR CROSSING",
            "address_2": "SUITE 120",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "28451",
            "telephone_number": "910-251-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY KOZLOWSKI DDS LELAND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-04-01",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "616-283-8867"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campbell Covington and Icenhour",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Campbell Covington and Icenhour",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.