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Contact Information

VALLEYGATE DENTAL SURGERY CENTER OF CHARLOTTE LLC
8415 MEDICAL PLAZA DR
CHARLOTTE, NC28262-9768
 Phone: 910-485-7070
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
 

Dentist Anesthesiologist

1223D0004X
 

Endodontics

1223E0200X
 

Medical

363AM0700X 97 Physician Assistant
 

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Oral and Maxillofacial Pathology

1223P0106X
 

Oral and Maxillofacial Radiology

1223X0008X
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Pediatric Dentistry

1223P0221X
 

Pediatrics

163WP0200X
 

Periodontics

1223P0300X
 

Trauma Surgery

2086S0127X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for VALLEYGATE DENTAL SURGERY CENTER OF CHARLOTTE LLC

NPI Number 1720573587
LBN Legal business name VALLEYGATE DENTAL SURGERY CENTER OF CHARLOTTE LLC
Authorized official VIRGINIA JONES - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/25/2018
Last updated 10/09/2025 - About 8 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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