Organization · Type 2 NPI

Valleygate Dental Surgery Center of Fayetteville, LLC

Ambulatory Surgical Clinic/Center · Fayetteville, NC

NPI number 1003321365 Active

Practice location

2038 Litho Place
Fayetteville, NC 28304

Fax (910) 485-1151

Mailing address

2028 Litho Pl Ste 300
Fayetteville, NC 28304-2538

Specialties and licenses

TaxonomyCodeLicense
Dental Anesthesiology 1223D0004XNone listed
Endodontics 1223E0200XNone listed
Oral and Maxillofacial Pathology Dentistry 1223P0106XNone listed
Pediatric Dentistry 1223P0221XNone listed
Periodontics 1223P0300XNone listed
Oral and Maxillofacial Surgery (Dentist) 1223S0112XNone listed
Oral and Maxillofacial Radiology Dentistry 1223X0008XNone listed
Pediatric Registered Nurse 163WP0200XNone listed
Oral & Maxillofacial Surgery (D.M.D.) 204E00000XNone listed
Anesthesiology Physician 207L00000XNone listed
Trauma Surgery Physician 2086S0127XNone listed
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

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About NPI 1003321365

Valleygate Dental Surgery Center of Fayetteville, LLC's National Provider Identifier is 1003321365, issued on Dec 8, 2017. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Fayetteville, NC. The record was last updated on Aug 1, 2025.