Organization · Type 2 NPI

Valleygate Dental Surgery Center of Charlotte LLC

Ambulatory Surgical Clinic/Center · Charlotte, NC

NPI number 1720573587 Active

Practice location

8415 Medical Plaza Dr
Charlotte, NC 28262-9768

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
Trauma Surgery Physician 2086S0127XNone listed
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed
Medical Physician Assistant 363AM0700XNone listed

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About NPI 1720573587

Valleygate Dental Surgery Center of Charlotte LLC's National Provider Identifier is 1720573587, issued on Jun 25, 2018. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Charlotte, NC. The record was last updated on Oct 9, 2025.