Organization · Type 2 NPI

Valleygate Dental Surgery Center of the West LLC

Ambulatory Surgical Clinic/Center · Greensboro, NC

NPI number 1194230573 Active

Practice location

510 Hickory Ridge Dr
Greensboro, NC 27409-9779

Fax (910) 485-1151

Mailing address

PO Box 87701
Fayetteville, NC 28304-7701

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
Medical Physician Assistant 363AM0700XNone listed

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About NPI 1194230573

Valleygate Dental Surgery Center of the West LLC's National Provider Identifier is 1194230573, issued on Dec 7, 2017. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Greensboro, NC. The record was last updated on Sep 15, 2026.