Healthcare Provider Details

I. General information

NPI: 1659236313
Provider Name (Legal Business Name): DR. GIVEN & ASSOC., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 GREENVILLE BLVD SE STE 108
GREENVILLE NC
27858-5729
US

IV. Provider business mailing address

109 GREENVILLE BLVD SE STE 108
GREENVILLE NC
27858-5729
US

V. Phone/Fax

Practice location:
  • Phone: 252-695-0024
  • Fax: 216-584-1123
Mailing address:
  • Phone: 252-695-0024
  • Fax: 216-584-1123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KYLE L GIVEN
Title or Position: OWNER
Credential: DMD
Phone: 252-673-2328