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BLUEWAVE DENTISTRY
NPI 1124517719
Dentist - General Practice in Leland, NC

Active since May 09, 2018
1300 S DICKINSON DR, LELAND, NC 28451(910) 383-2615(910) 383-2618 Get Directions Write a Review

NPPES record last updated: May 9, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bluewave Dentistry NPPES

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

BLUEWAVE DENTISTRY (NPI 1124517719) is a healthcare organization registered as a general practice in Leland, North Carolina and active in the NPI registry since May 2018. The organization lists Kelly Davis, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1124517719
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBLUEWAVE DENTISTRY
Location Address1300 S DICKINSON DRLeland, NC 28451-6430
Mailing Address1300 S Dickinson DrLeland, NC 28451-6430 · (910) 383-2615 · Fax (910) 383-2618
Phone(910) 383-2615
Fax(910) 383-2618
Organization SubpartNo
Authorized OfficialKelly DavisPractice Manager · (910) 383-2615
Enumeration DateMay 9, 2018
✔ NPI 1124517719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NC · 8379
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1300 S DICKINSON DR, Leland, NC 28451
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Other Identifiers 2

Other7812NC · Nc State Board Of Dental Examiners
Other8379NC · Nc Sate Board Of Dental Examiners

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. DAVID VURNAKES D.M.D.
Dentist (General Practice)
1300 S DICKINSON DR
LELAND, NC 28451
Brunswick County (910) 383-2615
DR. CHARLES RICHARDSON BIGGERSTAFF DDS, PHARMD
Dentist (General Practice)
1300 S DICKINSON DR
LELAND, NC 28451
Brunswick County (910) 383-2615

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 Bluewave Dentistry's NPI number?

The NPI number for Bluewave Dentistry is 1124517719. It was assigned to this organization in the NPPES registry on May 9, 2018.

Where is Bluewave Dentistry located?

Bluewave Dentistry is located at 1300 S Dickinson Dr, Leland, NC 28451. The listed phone number is (910) 383-2615.

What is Bluewave Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Bluewave Dentistry was last updated on May 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.