# KYLE J ROTH VIII DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CAROLINA DENTAL ARTS @ BLAKENEY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205205762
- **Authorized official:** KYLE ROTH (PRESIDENT)
- **Authorized official phone:** (919) 345-9511

## Contact information

- **Practice address:** 9336 BLAKENEY CENTRE DR, SUITE 100-A, CHARLOTTE, NC 28277-6666
- **Practice address phone:** (919) 345-9511
- **Practice address fax:** (919) 400-4408
- **Mailing address:** 5220 TALLOWTREE DR, RALEIGH, NC 27613-4548

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/15/2015
- **Last updated:** 09/15/2015