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Organization
VALLEYGATE DENTAL SURGERY CENTER OF CHARLOTTE LLC
Active
Organization
VALLEYGATE DENTAL SURGERY CENTER OF CHARLOTTE LLC
Active
Parent organization
VALLEYGATE DENTAL SURGERY CENTER OF CHARLOTTE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VALLEYGATE DENTAL SURGERY CENTER OF CHARLOTTE LLC
Authorized official
JENNIFER DIGIACOMO (REVENUE CYCLE MANAGER)
(910) 406-9455
Entity
Organization
Contact information
Practice address
13515 STEELE CREEK RD, CHARLOTTE, NC 28273-0088
(910) 485-7070
(910) 500-6972
Mailing address
13515 STEELE CREEK RD, CHARLOTTE, NC 28273-6839
(910) 485-7070
(910) 500-6972
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
207LP3000X
Pediatric Anesthesiology Physician
—
NULL
207LP3000X
Pediatric Anesthesiology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/10/2025
Last updated
06/24/2026
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