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ROTH POWELL MANN II DDS PA NPI 1053850974


NPI Information

NPI: 1053850974
Provider Name: ROTH, POWELL MANN II DDS PA

Doing Business As: CAROLINA DENTAL @ GLENWOOD

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
301 GLENWOOD AVE
STE 210
RALEIGH, NC
ZIP 27603
Phone: (919) 670-4944
Get Directions

ROTH, POWELL MANN II DDS PA is a general practice dentist in Raleigh, NC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. ROTH, POWELL MANN II DDS PA NPI is 1053850974. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Carolina Dental @ Glenwood.

The provider's business location address is:

301 GLENWOOD AVE
STE 210
RALEIGH, NC
ZIP 27603-195
Phone: (919) 670-4944

The provider's authorized official is Christy Baldwin .
The authorized official title is Coo and has the following contact phone number (919) 345-9511.

The enumeration date for this NPI number is 2/13/2017 and was last updated on 2/13/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice7026NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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