KYLE J ROTH VIII DDS PA (NPI# 1205205762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205205762 |
| Entity Type | Organization |
| Organization Name | KYLE J ROTH VIII DDS PA |
| Other Organization Name | CAROLINA DENTAL ARTS @ BLAKENEY |
| Practice Address |
9336 Blakeney Centre Dr Suite 100-a Charlotte NC 28277-6666 |
| Mailing Address |
5220 Tallowtree Dr Raleigh NC 27613-4548 |
| Practice Telephone | 9193459511 |
| Practice Fax Number | 9194004408 |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |
| Authorized Official Name | KYLE ROTH (PRESIDENT) |
| Authorized Official Telephone | 9193459511 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| CAROLINA DENTAL ARTS @ BLAKENEY | Doing Business As Name - Organization |
| Street Address |
9336 BLAKENEY CENTRE DR SUITE 100-A |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28277-6666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831255009 | Wendell Aubrey Goins | Surgery | 9336 Blakeney Centre Dr, Ste 100b, Charlotte, NC 28277-6666 | 2006-12-29 |
| 1225234958 | Mindyrgoinsddspllc | Dentist | 9336 Blakeney Centre Dr, Charlotte, NC 28277 | 2007-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1275010019 | Jigneshkumar R Mistry | Pharmacist | 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 | 2018-07-24 |
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1265961619 | Dominicka Whitaker | Counselor | 12365 Bluestem Ln., Charlotte, NC 28277 | 2017-06-08 |
| 1083143408 | Monika D Hayes | Counselor | 11330 Snapfinger Drive, Charlotte, NC 28277 | 2017-06-08 |
| 1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
| Find all providers in zip 28277 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851805 | Ganglani Dmd Pllc | Dentist | 8420 Park Rd, Charlotte, NC 28210-5801 | 2020-08-10 |
| 1598381816 | Robert Edwin Porter | Dentist | 135 S Sharon Amity Rd Ste 200, Charlotte, NC 28211-3871 | 2020-06-23 |
| 1811511165 | Cameron Campbell | Dentist | 2315 W Arbors Dr Ste 220, Charlotte, NC 28262-2639 | 2020-06-02 |
| 1407479264 | Darren Ramsey Dds Pllc | Dentist | 2748 Interstate St Ste C, Charlotte, NC 28208-3654 | 2020-05-27 |
| 1265052070 | Alterman Dhillon and Associates | Dentist | 4815 Berewick Town Center Dr Ste I&j, Charlotte, NC 28278-6733 | 2020-04-22 |
| 1982234357 | S. Gibree, D.m.d., P.C. | Dentist | 8680 Rachel Freeman Way Ste A, Charlotte, NC 28278-9567 | 2020-01-24 |
| 1093354854 | S. Gibree, D.m.d., P.C. | Dentist | 9511 Riverbend Village Dr Ste I5, Charlotte, NC 28216-9124 | 2019-12-27 |
| 1063057479 | Justin Harlow Dds Pa 2 | Dentist | 2607 E 7th St Ste 102, Charlotte, NC 28204-4308 | 2019-11-08 |
| 1336782192 | David Hendrick Dds Pllc IIi | Dentist | 13739 Steele Creek Rd Unit 100, Charlotte, NC 28273-7139 | 2019-10-24 |
| 1891342119 | Natasha Mofrad | Dentist | 3210 Wilkinson Blvd, Charlotte, NC 28208-5661 | 2019-08-21 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.