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

Dr. Kerusso Pooley Dominguez, DDS

Individual provider General Practice Dentistry · NPI 1841122462

Dr. Kerusso Pooley Dominguez, DDS is a General Practice Dentistry in Greensboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2026.

Licensed in
NC
In the registry since
2026
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

4215 W Wendover Ave
Greensboro, NC 27407-1921
Phone: (336) 569-8669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 14826 (NC)

Record details

NPI number1841122462
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 29, 2026
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026

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