VALLEYGATE DENTAL SURGERY CENTER OF FAYETTEVILLE, LLC
NPI 1003321365
Clinic/Center - Ambulatory Surgical in Fayetteville, NC

Q: What is Valleygate Dental Surgery Center Of Fayetteville, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since December 08, 2017CLIA 34D2142947 · Waiver

2038 LITHO PLACE, FAYETTEVILLE, NC 28304(910) 485-7070(910) 485-1151 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 25, 2019, Feb 12, 2019, Dec 8, 2017 (3 updates tracked since 2017).

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About Valleygate Dental Surgery Center Of Fayetteville, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VALLEYGATE DENTAL SURGERY CENTER OF FAYETTEVILLE, LLC (NPI 1003321365), doing business as Valleygate Dental Surgery Center, is a healthcare organization registered as an ambulatory surgical in Fayetteville, North Carolina and active in the NPI registry since December 2017. The organization holds a CLIA Waiver certificate valid through January 22, 2028 and lists Virginia Jones, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1003321365

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameVALLEYGATE DENTAL SURGERY CENTER OF FAYETTEVILLE, LLC

Location Address2038 LITHO PLACEFayetteville, NC 28304

Mailing Address2028 Litho Pl Ste 300Fayetteville, NC 28304-2538 · (910) 485-7070 · Fax (910) 485-1151

Phone(910) 485-7070

Fax(910) 485-1151

Organization SubpartNo

Authorized OfficialVirginia JonesChief Executive Officer · (910) 485-7070

Enumeration DateDecember 8, 2017

Last NPPES UpdateAugust 1, 20253 updates tracked since enumeration

NPPES CertifiedAugust 1, 2025

✔ NPI 1003321365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

Also ListedDentist · Dentist AnesthesiologistTaxonomy 1223D0004X

Also ListedDentist · EndodonticsTaxonomy 1223E0200X

Also ListedDentist · Oral and Maxillofacial PathologyTaxonomy 1223P0106X

Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X

Also ListedDentist · PeriodonticsTaxonomy 1223P0300X

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X

Also ListedDentist · Oral and Maxillofacial RadiologyTaxonomy 1223X0008X

Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X

Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X

Also ListedAnesthesiologyTaxonomy 207L00000X

Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X

2038 LITHO PLACE, Fayetteville, NC 28304

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Other Names 1

Doing Business AsValleygate Dental Surgery Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of NC.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2142947

Valleygate Dental Surgery Center At Fayetteville · Fayetteville, NC

Active · expires Jan 22, 2028

CLIA Number34D2142947

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJanuary 23, 2026

Certificate Expiration DateJanuary 22, 2028

Laboratory DirectorBryant S. Edwards

Laboratory Phone(910) 302-7772

Laboratory LocationValleygate Dental Surgery Center At Fayetteville2038 Litho Place, Fayetteville, NC 28304

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VALLEYGATE ANESTHESIA

Anesthesiology (Pediatric Anesthesiology)

2038 LITHO PLACE
FAYETTEVILLE, NC 28304

Cumberland County (910) 485-7070

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Valleygate Dental Surgery Center Of Fayetteville, LLC's NPI number?

The NPI number for Valleygate Dental Surgery Center Of Fayetteville, LLC is 1003321365. It was assigned to this organization in the NPPES registry on December 8, 2017. The provider is doing business as Valleygate Dental Surgery Center.

Where is Valleygate Dental Surgery Center Of Fayetteville, LLC located?

Valleygate Dental Surgery Center Of Fayetteville, LLC is located at 2038 Litho Place, Fayetteville, NC 28304. The listed phone number is (910) 485-7070.

What is Valleygate Dental Surgery Center Of Fayetteville, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Valleygate Dental Surgery Center Of Fayetteville, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2142947) is associated with this NPI, valid through January 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Valleygate Dental Surgery Center Of Fayetteville, LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Blue Cross and Blue Shield of NC list Valleygate Dental Surgery Center Of Fayetteville, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Valleygate Dental Surgery Center Of Fayetteville, LLC was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.