OrganizationActive
Carolina Pediatric Dental Management, LLC
NPI 1669240586 · Pediatric Dentistry · Raleigh, NC
Carolina Pediatric Dental Management, LLC is a Pediatric Dentistry organization in Raleigh, NC (NPI 1669240586).
Provider details
- NPI number
- 1669240586
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Amena Holley, Credentialing Specialist(248) 550-5440
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3000 New Bern Ave
Raleigh, NC 27610-1231
Phone: (919) 570-0180
Street-level locationGet directions
Mailing address
13580 Groupe Dr Ste 305
Woodbridge, VA 22192-4165
Additional practice locations (1)
- 2620 New Bern AveRaleigh, NC 27610-1821Phone: (919) 570-0180
Registry dates
- Enumerated
- 2023-12-20
- Last updated
- 2023-12-20
- Certified
- 2023-12-20
Frequently asked questions
- What is Carolina Pediatric Dental Management, LLC's NPI number?
- Carolina Pediatric Dental Management, LLC's National Provider Identifier (NPI) is 1669240586, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Carolina Pediatric Dental Management, LLC?
- Carolina Pediatric Dental Management, LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Carolina Pediatric Dental Management, LLC located?
- Carolina Pediatric Dental Management, LLC's practice location on file with NPPES is 3000 New Bern Ave, Raleigh, NC 27610-1231.
- What is Carolina Pediatric Dental Management, LLC's phone number?
- The practice phone number listed in the NPPES registry for Carolina Pediatric Dental Management, LLC is (919) 570-0180.
- Who is the authorized official for Carolina Pediatric Dental Management, LLC?
- The authorized official listed on Carolina Pediatric Dental Management, LLC's NPPES record is Amena Holley, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Carolina Pediatric Dental Management, LLC's NPI active?
- Yes — Carolina Pediatric Dental Management, LLC's NPI (1669240586) is active in the NPPES registry as of the last update on 2023-12-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.