CHARLOTTESVILLE ORAL SURGERY AND DENTAL IMPLANT CENTER, LLC
NPI 1972740454
Dentist - Oral and Maxillofacial Surgery in Charlottesville, VA

Q: What is Charlottesville Oral Surgery And Dental Implant Center, LLC's specialty?

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

Active since January 20, 2009

1415 ROLKIN CT STE 101, CHARLOTTESVILLE, VA 22911(434) 295-0911 Get Directions Write a Review

NPPES record last updated: November 14, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Charlottesville Oral Surgery And Dental Implant Center, Llc NPPES

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

CHARLOTTESVILLE ORAL SURGERY AND DENTAL IMPLANT CENTER, LLC (NPI 1972740454) is a healthcare organization registered as an oral and maxillofacial surgery in Charlottesville, Virginia and active in the NPI registry since January 2009. The organization lists Carlos Ibanez, President, as its authorized official.

NPPES Registry Identity

NPI1972740454

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameCHARLOTTESVILLE ORAL SURGERY AND DENTAL IMPLANT CENTER, LLC

Location Address1415 ROLKIN CT STE 101Charlottesville, VA 22911-3643

Mailing Address1415 Rolkin Ct Ste 101Charlottesville, VA 22911-3643 · (434) 295-0911

Phone(434) 295-0911

Organization SubpartNo

Authorized OfficialCarlos IbanezPresident · (434) 823-7711

Enumeration DateJanuary 20, 2009

Last NPPES UpdateNovember 14, 2018

✔ NPI 1972740454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in VA · 0438000261

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.

1415 ROLKIN CT STE 101, Charlottesville, VA 22911

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Other Identifiers 1

Medicaid2105438NY

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

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 Charlottesville Oral Surgery And Dental Implant Center, LLC's NPI number?

The NPI number for Charlottesville Oral Surgery And Dental Implant Center, LLC is 1972740454. It was assigned to this organization in the NPPES registry on January 20, 2009.

Where is Charlottesville Oral Surgery And Dental Implant Center, LLC located?

Charlottesville Oral Surgery And Dental Implant Center, LLC is located at 1415 Rolkin Ct Ste 101, Charlottesville, VA 22911. The listed phone number is (434) 295-0911.

What is Charlottesville Oral Surgery And Dental Implant Center, LLC'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 Charlottesville Oral Surgery And Dental Implant Center, LLC was last updated on November 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.