OrganizationActive
Kostelic & Associates 2, PLLC
NPI 1316765142 · Dental Clinic/Center · Winston Salem, NC
Provider details
- NPI number
- 1316765142
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Matthew Kostelic, Owner(336) 577-1583
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
1480 Rymco Dr Ste a
Winston Salem, NC 27103-3072
Phone: (336) 725-9580
Street-level locationGet directions
Mailing address
1480 Rymco Dr Ste a
Winston Salem, NC 27103-3072
Registry dates
- Enumerated
- 2024-10-01
- Last updated
- 2024-10-01
- Certified
- 2024-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.