Providence Oral Surgery And Dental Implant Center

LBN: Providence Oral Surgery And Dental Implant Center
Providence Oral Surgery And Dental Implant Center is an health care organization with primary practice located at 102 Waxhaw Professional Park Dr Ste G , Waxhaw NC 28173-5024. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is the primary health care specialty. Providence Oral Surgery And Dental Implant Center can be contacted via phone (732) 547-9101, or through Parelli, James via phone (704) 289-8819.

Contact Information

Primary practice address
102 Waxhaw Professional Park Dr Ste G Waxhaw NC 28173-5024
Phone: (732) 547-9101
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Parelli, James DMD, MD
Phone: (704) 289-8819

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X
Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery 261QS0112X

Profile Details

NPI number 1912468463
LBN Legal business name Providence Oral Surgery And Dental Implant Center
DBA Doing business as
Authorized official Parelli, James DMD, MD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2019
Last updated Oct 26th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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