Healthcare Provider Details

I. General information

NPI: 1891293205
Provider Name (Legal Business Name): DRS ROBERTS REIMELS AND KASHYAP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2018
Last Update Date: 01/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1126 N CHURCH ST STE 102
GREENSBORO NC
27401-1035
US

IV. Provider business mailing address

1126 N CHURCH ST STE 102
GREENSBORO NC
27401-1035
US

V. Phone/Fax

Practice location:
  • Phone: 336-370-4040
  • Fax:
Mailing address:
  • Phone: 336-370-4040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: AMANDA GROESCHEL
Title or Position: CCO
Credential:
Phone: 704-978-9800