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

Matthew Kostelic, DMD

Individual provider General Practice Dentistry · NPI 1972097251

Matthew Kostelic, DMD is a General Practice Dentistry in Clemmons, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2018
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

2265 Lewisville Clemmons Rd Ste A
Clemmons, NC 27012-7459
Phone: (336) 577-1583
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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 11043 (NC)

Record details

NPI number1972097251
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 19, 2018
Last updated in NPPESJuly 7, 2021
Certification dateJuly 7, 2021
Mailing address2265 Lewisville Clemmons Rd Ste A, Clemmons, NC 27012-7459

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