# K. KEVIN NESHAT, DDS, MD, PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** K. KEVIN NESHAT, DDS, MD, PA
- **Other names:** Wendell Family Dentistry
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629849088
- **Legal business name:** K. KEVIN NESHAT, DDS, MD, PA
- **Authorized official:** GLORIA BOHNE (DIRECTOR OF RCM)
- **Authorized official phone:** (984) 308-0506

## Contact information

- **Practice address:** 3200 WENDELL BLVD, WENDELL, NC 27591-5908
- **Practice address phone:** (919) 365-3127
- **Mailing address:** 3200 WENDELL BLVD, WENDELL, NC 27591-5908
- **Mailing address phone:** (919) 365-3127

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/12/2024
- **Last updated:** 01/12/2024