Organization
KYLE ROTH AND ASSOCIATES III, DDS, PA
Active
Other names
Burlington Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN PRIDGEN (BUSINESS MANAGER)
(919) 696-6394
Entity
Organization
Contact information
Practice address
2430B S CHURCH ST, BURLINGTON, NC 27215-5202
(336) 513-4474
(336) 513-4475
Mailing address
2430B S CHURCH ST, BURLINGTON, NC 27215-5202
(336) 513-4474
(336) 513-4475
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902666
—
NC
Enumeration date
09/27/2006
Last updated
08/22/2020
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