Individual
DR. RICHARD TODD CARLYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
206 AIRPORT RD, KINSTON, NC 28504
(252) 522-1777
(252) 522-3707
Mailing address
1107 PARROTT AVE, KINSTON, NC 28501
(252) 527-2591
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6199
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8991365
—
NC
Enumeration date
03/20/2007
Last updated
07/08/2007
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