VALLEYGATE DENTAL SURGERY CENTER OF CHARLOTTE LLC
NPI 1720573587
Clinic/Center - Ambulatory Surgical in Charlotte, NC

Active since June 25, 2018CLIA 34D2161155 · Waiver
8415 MEDICAL PLAZA DR, CHARLOTTE, NC 28262(910) 485-7070 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2025, Aug 21, 2024, Jul 15, 2024 and 1 more (4 updates tracked since 2018).

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 1720573587) is a healthcare organization registered as an ambulatory surgical in Charlotte, North Carolina and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through January 27, 2027 and lists Virginia T Jones, Ceo, as its authorized official.

NPPES Registry Identity

NPI1720573587
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameVALLEYGATE DENTAL SURGERY CENTER OF CHARLOTTE LLC
Location Address8415 MEDICAL PLAZA DRCharlotte, NC 28262-9768
Mailing Address2028 Litho Pl Ste 300Fayetteville, NC 28304-2538 · (910) 485-7070 · Fax (910) 485-1151
Organization SubpartNo
Authorized OfficialVirginia T JonesCeo · (910) 485-7070
Enumeration DateJune 25, 2018
Last NPPES UpdateOctober 9, 20254 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
NPI 1720573587 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 ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
8415 MEDICAL PLAZA DR, Charlotte, NC 28262

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted 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 34D2161155

Valleygate Dental Surgery Of Charlotte, LLC · Charlotte, NC
Active · expires Jan 27, 2027
CLIA Number34D2161155
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 28, 2025
Certificate Expiration DateJanuary 27, 2027
Laboratory DirectorSarah A. Stolldorf
Laboratory Phone(704) 336-9400
Laboratory LocationValleygate Dental Surgery Of Charlotte, LLC8415 Medical Plaza Drive, Charlotte, NC 28262
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 Center Of Charlotte LLC's NPI number?

The NPI number for Valleygate Dental Surgery Center Of Charlotte LLC is 1720573587. It was assigned to this organization in the NPPES registry on June 25, 2018.

Where is Valleygate Dental Surgery Center Of Charlotte LLC located?

Valleygate Dental Surgery Center Of Charlotte LLC is located at 8415 Medical Plaza Dr, Charlotte, NC 28262. 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 34D2161155) is associated with this NPI, valid through January 27, 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 Ambetter from Absolute Total Care, Ambetter of North Carolina and 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 October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.