Provider Demographics
NPI:1710078506
Name:ROTH & PRESSLEY, DDS, PA
Entity Type:Organization
Organization Name:ROTH & PRESSLEY, DDS, PA
Other - Org Name:HIGH POINT DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PRIDGEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-696-6394
Mailing Address - Street 1:274 EASTCHESTER DR STE 126
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7721
Mailing Address - Country:US
Mailing Address - Phone:336-841-6800
Mailing Address - Fax:919-781-4331
Practice Address - Street 1:274 EASTCHESTER DR STE 126
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-7721
Practice Address - Country:US
Practice Address - Phone:336-841-6800
Practice Address - Fax:919-781-4331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8997076Medicaid