# FIVE POINTS SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003644436
- **Authorized official:** VIRGINIA JONES (CEO)
- **Authorized official phone:** (910) 485-7070

## Contact information

- **Practice address:** 6374 WEST HUGER L. PHELPS TRAIL, GREENFIELD, IN 46140
- **Practice address phone:** (337) 356-7044
- **Mailing address:** 2028 LITHO PL, FAYETTEVILLE, NC 28304-2537
- **Mailing address phone:** (337) 356-7044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | NULL | — |
| 1223E0200X | Endodontics | — | — | — |
| 1223P0221X | Pediatric Dentistry | — | NULL | — |
| 1223P0221X | Pediatric Dentistry | — | — | — |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |
| 261QS0112X | Oral and Maxillofacial Surgery Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/25/2024
- **Last updated:** 09/08/2025