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KYLE J ROTH VIII DDS PA NPI 1205205762


NPI Information

NPI: 1205205762
Provider Name: KYLE J ROTH VIII DDS PA

Doing Business As: CAROLINA DENTAL ARTS @ BLAKENEY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 34D2075104

Address:
9336 BLAKENEY CENTRE DR
SUITE 100-A
CHARLOTTE, NC
ZIP 28277
Phone: (919) 345-9511
Get Directions

KYLE J ROTH VIII DDS PA is a general practice dentist in Charlotte, 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. KYLE J ROTH VIII DDS PA NPI is 1205205762. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Carolina Dental Arts @ Blakeney.

The provider's business location address is:

9336 BLAKENEY CENTRE DR
SUITE 100-A
CHARLOTTE, NC
ZIP 28277-666
Phone: (919) 345-9511
Fax: (919) 400-4408

The provider's authorized official is Kyle Roth .
The authorized official title is President and has the following contact phone number (919) 345-9511.

The CLIA number assigned to this NPI record is 34D2075104 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/15/2015 and was last updated on 9/15/2015.


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 PracticeYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.