OrganizationActive
Carolina Pediatric Dental Management, LLC
NPI 1669240586 · Pediatric Dentistry · Raleigh, NC
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
Practice location
3000 New Bern Ave
Raleigh, NC 27610-1231
Phone: (919) 570-0180
Approximate (ZIP-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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.