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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.