# SURGICAL CENTER FOR DENTAL PROFESSIONALS OF NC LLC

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

## Provider details

- **NPI number:** 1932634029
- **Authorized official:** DR. UDAY N REEBYE (OWNER)
- **Authorized official phone:** (919) 932-4425

## Contact information

- **Practice address:** 2620 NEW BERN AVE, RALEIGH, NC 27610-1821
- **Practice address phone:** (919) 225-6899
- **Mailing address:** 9650 STRICKLAND RD, SUITE 103-177, RALEIGH, NC 27615-1902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 812162341 | NC | Yes |

## Other

- **Enumeration date:** 04/26/2017
- **Last updated:** 08/11/2020