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CAROLINA PEDIATRIC DENTAL MANAGEMENT, LLC
NPI 1669240586
Dentist - Pediatric Dentistry in Raleigh, NC

Active since December 20, 2023
3000 NEW BERN AVE, RALEIGH, NC 27610(919) 570-0180 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carolina Pediatric Dental Management, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLINA PEDIATRIC DENTAL MANAGEMENT, LLC (NPI 1669240586) is a healthcare organization registered as a pediatric dentistry in Raleigh, North Carolina and active in the NPI registry since December 2023. The organization maintains a secondary practice location in Raleigh and lists Amena Holley, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1669240586
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCAROLINA PEDIATRIC DENTAL MANAGEMENT, LLC
Location Address3000 NEW BERN AVERaleigh, NC 27610-1231
Mailing Address13580 Groupe Dr Ste 305Woodbridge, VA 22192-4165
Phone(919) 570-0180
Organization SubpartNo
Authorized OfficialAmena HolleyCredentialing Specialist · (248) 550-5440
Enumeration DateDecember 20, 2023
NPPES CertifiedDecember 20, 2023
✔ NPI 1669240586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
3000 NEW BERN AVE, Raleigh, NC 27610
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Secondary Practice Location 1

Location 12620 New Bern AveRaleigh, NC 27610-1821 · Phone (919) 570-0180

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JILL M PAPPALARDI M.D.
Hospitalist
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8000
MS. TONYA R GABLE LCSW
Social Worker (Clinical)
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-4163
MS. HOLLY H HEAD P-LCSW
Social Worker (Clinical)
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-7445
KATHLEEN VALERIE FIGLER CFNP
Nurse Practitioner (Family)
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8779
MRS. BAILEY HARDY UNDERHILL PA-C
Physician Assistant (Medical)
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8000
DR. SERDAL AKTOLGA M.D.
Internal Medicine
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8000
JESSICA CARTEE HOWE MS-CCC/SLP
Speech-Language Pathologist
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 684-6271
ADAM PETER LISEWSKI OT
Occupational Therapist
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolina Pediatric Dental Management, LLC's NPI number?

The NPI number for Carolina Pediatric Dental Management, LLC is 1669240586. It was assigned to this organization in the NPPES registry on December 20, 2023.

Where is Carolina Pediatric Dental Management, LLC located?

Carolina Pediatric Dental Management, LLC is located at 3000 New Bern Ave, Raleigh, NC 27610. The listed phone number is (919) 570-0180.

What is Carolina Pediatric Dental Management, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Carolina Pediatric Dental Management, LLC was last updated on December 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.