PROVIDENCE ORAL SURGERY AND DENTAL IMPLANT CENTER
NPI 1912468463
Dentist - Oral and Maxillofacial Surgery in Waxhaw, NC

Q: What is Providence Oral Surgery And Dental Implant Center's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since March 27, 2019

102 WAXHAW PROFESSIONAL PARK DR STE G, WAXHAW, NC 28173(732) 547-9101 Get Directions Write a Review

NPPES record last updated: October 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 18, 2019, Nov 24, 2019, Jun 11, 2019 (3 updates tracked since 2019).

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About Providence Oral Surgery And Dental Implant Center NPPES

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

PROVIDENCE ORAL SURGERY AND DENTAL IMPLANT CENTER (NPI 1912468463) is a healthcare organization registered as an oral and maxillofacial surgery in Waxhaw, North Carolina and active in the NPI registry since March 2019. The organization lists James Parelli, Oral Surgeon/owner, as its authorized official.

NPPES Registry Identity

NPI1912468463

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NamePROVIDENCE ORAL SURGERY AND DENTAL IMPLANT CENTER

Location Address102 WAXHAW PROFESSIONAL PARK DR STE GWaxhaw, NC 28173-5024

Mailing Address102 Waxhaw Professional Park Dr Ste GWaxhaw, NC 28173-5024 · (704) 289-8819

Phone(732) 547-9101

Organization SubpartNo

Authorized OfficialJames ParelliOral Surgeon/owner · (704) 289-8819

Enumeration DateMarch 27, 2019

Last NPPES UpdateOctober 26, 20213 updates tracked since enumeration

NPPES CertifiedOctober 26, 2021

✔ NPI 1912468463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedClinic/Center · Oral and Maxillofacial SurgeryTaxonomy 261QS0112X

102 WAXHAW PROFESSIONAL PARK DR STE G, Waxhaw, NC 28173

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Other Providers at the Same Location NPPES

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

DR. JAMES PARELLI DMD, MD, MS.ED

Dentist (Oral and Maxillofacial Surgery)

102 WAXHAW PROFESSIONAL PARK DR STE G
WAXHAW, NC 28173

Union County (704) 289-8819

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 Providence Oral Surgery And Dental Implant Center's NPI number?

The NPI number for Providence Oral Surgery And Dental Implant Center is 1912468463. It was assigned to this organization in the NPPES registry on March 27, 2019.

Where is Providence Oral Surgery And Dental Implant Center located?

Providence Oral Surgery And Dental Implant Center is located at 102 Waxhaw Professional Park Dr Ste G, Waxhaw, NC 28173. The listed phone number is (732) 547-9101.

What is Providence Oral Surgery And Dental Implant Center's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Providence Oral Surgery And Dental Implant Center was last updated on October 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.