Organization
RICHARD T. CARLYLE DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD CARLYLE DDS (PRESIDENT)
(252) 522-1777
Entity
Organization
Contact information
Practice address
206 AIRPORT RD, KINSTON, NC 28504-8814
(252) 522-1777
Mailing address
206 AIRPORT RD, KINSTON, NC 28504-8814
(252) 522-1777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942325105
—
NC
Enumeration date
09/27/2023
Last updated
10/11/2023
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