Organization
K. ALEX POOLE II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. K. ALEX POOLE II D.M.D (OWNER/PRESIDENT)
(336) 662-0807
Entity
Organization
Contact information
Practice address
2835 HORSE PEN CREEK RD, 106, GREENSBORO, NC 27410-9700
(336) 662-0807
(336) 662-0828
Mailing address
2835 HORSE PEN CREEK RD, 106, GREENSBORO, NC 27410-9700
(336) 662-0807
(336) 662-0828
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6081
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40706
BCBS OF TN
NC
01
—
810-41
BCBS OF AL
AL
01
—
864646
BCBS OF PA
PA
05
—
8996986
—
NC
01
—
96986
BCBS OF NC
NC
01
—
V0068
BCBS OF TX
TX
Enumeration date
10/05/2006
Last updated
08/22/2020
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