# ROTH POWELL & MANN II DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CAROLINA@GLENWOOD SOUTH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245779123
- **Authorized official:** CHRISTY BALDWIN (MANAGER)
- **Authorized official phone:** (919) 345-9511

## Contact information

- **Practice address:** 301 GLENWOOD AVE STE 210, RALEIGH, NC 27603-1452
- **Practice address phone:** (919) 670-4944
- **Mailing address:** 5220 TALLOWTREE DR, RALEIGH, NC 27613-4548
- **Mailing address phone:** (919) 345-9511

## Taxonomy

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

## Other

- **Enumeration date:** 02/13/2017
- **Last updated:** 02/13/2017