OrganizationActive
Amanda B Kotis, DMD, PA
NPI 1518577667 · General Practice Dentistry · Statesville, NC
Provider details
- NPI number
- 1518577667
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Amanda Kotis, Dentist(704) 873-4271
Specialties & taxonomies
Dental Providers
Practice location
1207 Davie Ave
Statesville, NC 28677-3511
Phone: (704) 873-4271
Fax: (704) 873-0705
Approximate (ZIP-level) locationGet directions
Mailing address
1207 Davie Ave
Statesville, NC 28677-3511
Registry dates
- Enumerated
- 2020-08-04
- Last updated
- 2020-08-04
- Certified
- 2020-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.