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Organization

FIVE POINTS SURGERY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VIRGINIA JONES (CEO)
(910) 485-7070
Entity
Organization

Contact information

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

Taxonomy

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

Other

Enumeration date
07/25/2024
Last updated
09/08/2025
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