OrganizationActive
Nickolas A. Kephart DDS PLLC
NPI 1225684079 · General Practice Dentistry · Winston Salem, NC
Nickolas A. Kephart DDS PLLC is a General Practice Dentistry organization in Winston Salem, NC (NPI 1225684079).
Provider details
- NPI number
- 1225684079
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Nickolas Kephart, Owner(336) 760-9840
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3165 Maplewood Ave
Winston Salem, NC 27103-3919
Phone: (336) 760-9840
Fax: (336) 760-9841
Street-level locationGet directions
Mailing address
3165 Maplewood Ave
Winston Salem, NC 27103-3919
Other names (DBA / former)
- Doing business as
- Ardmore Dentistry
Registry dates
- Enumerated
- 2019-08-16
- Last updated
- 2019-08-16
Frequently asked questions
- What is Nickolas A. Kephart DDS PLLC's NPI number?
- Nickolas A. Kephart DDS PLLC's National Provider Identifier (NPI) is 1225684079, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nickolas A. Kephart DDS PLLC?
- Nickolas A. Kephart DDS PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Nickolas A. Kephart DDS PLLC located?
- Nickolas A. Kephart DDS PLLC's practice location on file with NPPES is 3165 Maplewood Ave, Winston Salem, NC 27103-3919.
- What is Nickolas A. Kephart DDS PLLC's phone number?
- The practice phone number listed in the NPPES registry for Nickolas A. Kephart DDS PLLC is (336) 760-9840.
- Who is the authorized official for Nickolas A. Kephart DDS PLLC?
- The authorized official listed on Nickolas A. Kephart DDS PLLC's NPPES record is Nickolas Kephart, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nickolas A. Kephart DDS PLLC's NPI active?
- Yes — Nickolas A. Kephart DDS PLLC's NPI (1225684079) is active in the NPPES registry as of the last update on 2019-08-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.