Organization
SURGICAL CENTER FOR DENTAL PROFESSIONALS OF NC LLC
Active
Organization
SURGICAL CENTER FOR DENTAL PROFESSIONALS OF NC LLC
Active
Parent organization
SURGICAL CENTER FOR DENTAL PROFESSIONALS OF NC LLC
Other names
SCDP Anesthesia Professionals
Organization subpart
Yes
Provider details
NPI number
Legal business name
SURGICAL CENTER FOR DENTAL PROFESSIONALS OF NC LLC
Authorized official
MR. DEVIN LARSEN (CEO)
(208) 340-1840
Entity
Organization
Contact information
Practice address
2620 NEW BERN AVE, RALEIGH, NC 27610-1821
(919) 526-1000
Mailing address
2620 NEW BERN AVE, RALEIGH, NC 27610-1821
(919) 526-1000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
02/23/2019
Last updated
05/30/2024
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