OrganizationActive
Charlottesville Oral Surgery and Dental Implant Center, LLC
NPI 1972740454 · Oral and Maxillofacial Surgery (Dentist) · Charlottesville, VA
Provider details
- NPI number
- 1972740454
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Carlos Ibanez, President(434) 823-7711
- License
- 0438000261 (VA)
Specialties & taxonomies
Dental Providers
Practice location
1415 Rolkin Ct Ste 101
Charlottesville, VA 22911-3643
Phone: (434) 295-0911
Approximate (ZIP-level) locationGet directions
Mailing address
1415 Rolkin Ct Ste 101
Charlottesville, VA 22911-3643
Registry dates
- Enumerated
- 2009-01-20
- Last updated
- 2018-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.