DR. KEVIN THOMAS DEMKO


Address: 2817 Reilly St, Fort Bragg, NC 28310
Phone: 5712315383

DR. KEVIN THOMAS DEMKO (NPI# 1912423690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912423690
Entity Type Individual
Full Name DR. KEVIN THOMAS DEMKO
Credential DDS
Practice Address 2817 Reilly St
Fort Bragg
NC 28310
Mailing Address 2817 Reilly St Stop B
Fort Bragg
NC 28310-7302
Practice Telephone 5712315383
Mailing Telephone 5712315383
Enumeration Date 2017-08-15
Last Update Date 2018-07-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 122300000X Dentist 33149 TX Dental Providers
Y 1223G0001X Dentist
Specialization: General Practice
33149 TX Dental Providers

Office Location

Street Address 2817 REILLY ST
City FORT BRAGG
State NC
Zip Code 28310

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225022874 Victoria Hoang-mai O'shea Pharmacist 2817 Reilly St, Fort Bragg, NC 28310-7324 2005-09-09
1831799063 Samantha Macchio Optometrist 2817 Reilly St, Fort Bragg, NC 28310-7324 2020-10-27
1548869126 Carolyn Smith Registered Nurse 2817 Reilly St, Fort Bragg, NC 28310-7301 2020-10-23
1114534666 Lister Hokanson Pharmacist 2817 Reilly St, Fort Bragg, NC 28310-7324 2020-09-29
1689289118 Joseph Stephen Wise Physical Therapist 2817 Reilly St, Fort Bragg, NC 28310-7394 2020-09-11
1063027779 James Pennington Mundy Jr. Pharmacist 2817 Reilly St, Fort Bragg, NC 28310-7394 2020-09-10
1548873003 James Coleman V Nurse Anesthetist, Certified Registered 2817 Reilly St, Fort Bragg, NC 28310-7324 2020-08-25
1740893171 Thomas William Woodroof Nurse Anesthetist, Certified Registered 2817 Reilly St, Fort Bragg, NC 28310-7324 2020-08-25
1740892389 Roger Wayne Webb Nurse Anesthetist, Certified Registered 2817 Reilly St, Fort Bragg, NC 28310-7324 2020-08-17
1144838517 Josephine Kariuki Family Medicine 2817 Reilly St, Fort Bragg, NC 28310-7324 2020-07-21
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013550763 Brent Francis Bachman Physician Assistant 2817 Reilly Street, Fort Bragg, NC 28310 2019-10-25
1417503459 Cooper Pasque Dentist 1838 Normandy Dr., Fort Bragg, Apo, AA 28310 2019-08-15
1851959951 Daniel Jordan Whitaker Student in an Organized Health Care Education/Training Program Womack Army Medical Center, 2817 Reilly Road, Mcxc-cod Credentials, Fort Bragg, NC 28310 2019-06-03
1679054217 Christopher Cetnar Dentist Smokebomb Hill, Bldg 3718 Gruber Road, Fort Bragg, NC 28310 2018-08-22
1316427107 Alexandrea Lee Clark Dentist Laflamme Dental Clinic, Bldg C6238 Ardennes Road, Fort Bragg, NC 28310 2018-08-21
1457843831 Kevin Patrick Hudson Student in an Organized Health Care Education/Training Program 2817 Reilly Road Mxcx - Cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 2018-06-01
1639691462 Margaret S Greene Dentist Usa Dental Health Activity Fort Bragg, Wamc Box #151 2817 Rielly Rd, Fort Bragg, NC 28310 2017-07-13
1912432246 Chezdan Baker Student in an Organized Health Care Education/Training Program Us Army Dental Health Activity Bldg-6837 Normandy Drive, Fort Bragg, NC 28310 2017-04-24
1215483094 Shantryce Monique Boatwright Crump Dental Hygienist 2617 Rielly Road, Fort Bragg, NC 28310 2016-08-31
1629435714 John Gagnier Physician Assistant Gruber Road, Building #c-1722, Fort Bragg, NC 28310 2016-01-21
Find all providers in zip 28310

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750997110 William James Graham Iv Dentist Bldg B-6837 Normandy Dr, Fort Bragg, NC 28310-0001 2020-09-21
1679194906 Jeff Bertheola Dentist 825 Sequoia Cir, Fort Bragg, CA 95437-5422 2020-04-27
1114572229 Amanda C Blankenship Dentist Smoke Bomb Hill Dental Clinic 3817 Gruber Rd, Fort Bragg, NC 28310-0001 2019-08-06
1831754795 Ryan David Smith Dentist Bldg 4681 Logistics Ave, Fort Bragg, NC 28310-0001 2019-05-07
1588159263 Jenniffer Rendon-velasquez Dentist 3817 Gruber Rd, Fort Bragg, NC 28310-8925 2018-06-26
1912423377 Lejla Streets Dentist 2827 Reilly Rd, Fort Bragg, NC 28310-0001 2017-08-17
1033635420 Andrew Seun Dentist Bldg 6837 Normandy Drive, Fort Bragg, NC 28310-0001 2017-08-17
1184144479 Thomas William Hanna IIi Dentist Bldg C-6238 Ardennes St., Fort Bragg, NC 28307 2017-06-27
1598134769 Sidney Choi Dentist 499 E Chestnut St, Fort Bragg, CA 95437-4913 2015-09-17
1083048706 Gamal Ahmad Baker Dentist Logisitcs Ave Bldg M-4861, Us Army Dental Activity, Fort Bragg, NC 28310-7302 2013-08-29
Find all providers in FORT BRAGG

Competitor

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City FORT BRAGG
Zip Code 28310

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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