Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kerry P Cogburn, DDSPA

Individual provider General Practice Dentistry · NPI 1063441616

Dr. Kerry P Cogburn, DDSPA is a General Practice Dentistry in Clyde, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2006

Practice location Address checks out

418 Jones Cove Rd
Clyde, NC 28721-9458
Phone: (828) 627-9285
Fax: (828) 627-9287
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 3906 (NC)

Record details

NPI number1063441616
Entity typeIndividual (Type 1)
GenderMale
Credentials DDSPA
Sole proprietorYes
NPI enumeratedJuly 3, 2006
Last updated in NPPESJuly 8, 2007

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