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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) 484-7070
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
207LP3000X
Pediatric Anesthesiology Physician
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
09/10/2025
Last updated
03/12/2026
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