OrganizationActive
Bluewave Dentistry
NPI 1124517719 · General Practice Dentistry · Leland, NC
Bluewave Dentistry is a General Practice Dentistry organization in Leland, NC (NPI 1124517719).
Provider details
- NPI number
- 1124517719
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kelly Davis, Practice Manager(910) 383-2615
- License
- 8379 (NC)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1300 S Dickinson Dr
Leland, NC 28451-6430
Phone: (910) 383-2615
Fax: (910) 383-2618
Street-level locationGet directions
Mailing address
1300 S Dickinson Dr
Leland, NC 28451-6430
Registry dates
- Enumerated
- 2018-05-09
- Last updated
- 2018-05-09
Frequently asked questions
- What is Bluewave Dentistry's NPI number?
- Bluewave Dentistry's National Provider Identifier (NPI) is 1124517719, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bluewave Dentistry?
- Bluewave Dentistry is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Bluewave Dentistry located?
- Bluewave Dentistry's practice location on file with NPPES is 1300 S Dickinson Dr, Leland, NC 28451-6430.
- What is Bluewave Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Bluewave Dentistry is (910) 383-2615.
- Who is the authorized official for Bluewave Dentistry?
- The authorized official listed on Bluewave Dentistry's NPPES record is Kelly Davis, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bluewave Dentistry's NPI active?
- Yes — Bluewave Dentistry's NPI (1124517719) is active in the NPPES registry as of the last update on 2018-05-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.