# KYLE J ROTH IV DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carolina Dental Arts of Creedmoor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346502309
- **Authorized official:** CHRISTY BALDWIN (BUSINESS MANAGER)
- **Authorized official phone:** (919) 345-9511

## Contact information

- **Practice address:** 505 N MAIN ST, CREEDMOOR, NC 27522-8846
- **Practice address phone:** (919) 528-8700
- **Mailing address:** 505 N MAIN ST, CREEDMOOR, NC 27522-8846

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7026 | NC | Yes |

## Other

- **Enumeration date:** 06/14/2012
- **Last updated:** 06/14/2012