VALLEYGATE DENTAL SURGERY CENTER OF CHARLOTTE LLC
NPI 1043191661
Clinic/Center - Ambulatory Surgical in Charlotte, NC

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

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

Active since September 10, 2025CLIA 34D2332861 · Waiver

13515 STEELE CREEK RD, CHARLOTTE, NC 28273(910) 485-7070(910) 500-6972 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 12, 2026, Oct 10, 2025, Sep 10, 2025 (3 updates tracked since 2025).

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About Valleygate Dental Surgery Center Of Charlotte Llc NPPES

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

VALLEYGATE DENTAL SURGERY CENTER OF CHARLOTTE LLC (NPI 1043191661) is a healthcare organization registered as an ambulatory surgical in Charlotte, North Carolina and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through October 26, 2027 and lists Jennifer Digiacomo, Revenue Cycle Manager, as its authorized official.

NPPES Registry Identity

NPI1043191661

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameVALLEYGATE DENTAL SURGERY CENTER OF CHARLOTTE LLC

Location Address13515 STEELE CREEK RDCharlotte, NC 28273-0088

Mailing Address13515 Steele Creek RdCharlotte, NC 28273-6839 · (910) 485-7070 · Fax (910) 500-6972

Phone(910) 485-7070

Fax(910) 500-6972

Organization SubpartYes

Authorized OfficialJennifer DigiacomoRevenue Cycle Manager · (910) 406-9455

Enumeration DateSeptember 10, 2025

Last NPPES UpdateJune 24, 20263 updates tracked since enumeration

NPPES CertifiedJune 24, 2026

✔ NPI 1043191661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

Also ListedAnesthesiologyTaxonomy 207L00000X

Also ListedAnesthesiology · Pediatric AnesthesiologyTaxonomy 207LP3000X

13515 STEELE CREEK RD, Charlotte, NC 28273

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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 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 34D2332861

Valleygate Dental Surgery Center Of Charlotte, LLC · Charlotte, NC

Active · expires Oct 26, 2027

CLIA Number34D2332861

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateOctober 27, 2025

Certificate Expiration DateOctober 26, 2027

Laboratory DirectorMark Ellis

Laboratory Phone(980) 501-9001

Laboratory LocationValleygate Dental Surgery Center Of Charlotte, LLC13515 Steele Creek Rd, Charlotte, NC 28273

CLIA data matches this NPI record on: Address Name

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

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 Charlotte LLC's NPI number?

The NPI number for Valleygate Dental Surgery Center Of Charlotte LLC is 1043191661. It was assigned to this organization in the NPPES registry on September 10, 2025.

Where is Valleygate Dental Surgery Center Of Charlotte LLC located?

Valleygate Dental Surgery Center Of Charlotte LLC is located at 13515 Steele Creek Rd, Charlotte, NC 28273. The listed phone number is (910) 485-7070.

What is Valleygate Dental Surgery Center Of Charlotte 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 Charlotte LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2332861) is associated with this NPI, valid through October 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Valleygate Dental Surgery Center Of Charlotte LLC accept?

Health plans from Blue Cross and Blue Shield of NC list Valleygate Dental Surgery Center Of Charlotte 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 Charlotte LLC was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.