VALLEYGATE DENTAL SURGERY CENTER OF THE TRIAD
NPI 1194230573
Clinic/Center - Ambulatory Surgical in Greensboro, NC

Q: What is Valleygate Dental Surgery Centers Of The West, LLC's specialty?

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

Active since December 07, 2017CLIA 34D2142948 · Waiver

510 HICKORY RIDGE DR, GREENSBORO, NC 27409(910) 485-7070(910) 485-1151 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 25, 2019, Dec 7, 2017 (2 updates tracked since 2017).

On this page

About Valleygate Dental Surgery Center Of The Triad NPPES

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

VALLEYGATE DENTAL SURGERY CENTER OF THE TRIAD (NPI 1194230573) is a healthcare organization registered as an ambulatory surgical in Greensboro, 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

NPI1194230573

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameVALLEYGATE DENTAL SURGERY CENTERS OF THE WEST, LLC

Location Address510 HICKORY RIDGE DRGreensboro, NC 27409-9779

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 7, 2017

Last NPPES UpdateMarch 12, 20242 updates tracked since enumeration

NPPES CertifiedMarch 12, 2024

✔ NPI 1194230573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

★ 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

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X

510 HICKORY RIDGE DR, Greensboro, NC 27409

Open in Google Maps ↗

Other Names 1

Doing Business AsValleygate Dental Surgery Center Of The Triad

Group Practice 2

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

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

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 34D2142948

Valleygate Dental Surgery Center Of The West · Greensboro, NC

Active · expires Jan 22, 2028

CLIA Number34D2142948

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJanuary 23, 2026

Certificate Expiration DateJanuary 22, 2028

Laboratory DirectorEmily C. Williamson

Laboratory Phone(336) 355-0552

Laboratory LocationValleygate Dental Surgery Center Of The West510 Hickory Ridge Drive, Greensboro, NC 27409

CLIA data matches this NPI record on: Address

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 Centers Of The West, LLC's NPI number?

The NPI number for Valleygate Dental Surgery Centers Of The West, LLC is 1194230573. It was assigned to this organization in the NPPES registry on December 7, 2017. The provider is doing business as Valleygate Dental Surgery Center Of The Triad.

Where is Valleygate Dental Surgery Centers Of The West, LLC located?

Valleygate Dental Surgery Centers Of The West, LLC is located at 510 Hickory Ridge Dr, Greensboro, NC 27409. The listed phone number is (910) 485-7070.

What is Valleygate Dental Surgery Centers Of The West, 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 Centers Of The West, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2142948) is associated with this NPI, valid through January 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Valleygate Dental Surgery Centers Of The West, LLC was last updated on March 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.