Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charlottesville Oral Surgery and Dental Implant Center, LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1972740454

Charlottesville Oral Surgery and Dental Implant Center, LLC is an Oral and Maxillofacial Surgery (Dentist) in Charlottesville, Virginia. Licensed in Virginia. Registered with an NPI since 2009.

Licensed in
VA
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1415 Rolkin Ct Ste 101
Charlottesville, VA 22911-3643
Phone: (434) 295-0911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 0438000261 (VA)

Record details

NPI number1972740454
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carlos Ibanez — President · (434) 823-7711
NPI enumeratedJanuary 20, 2009
Last updated in NPPESNovember 14, 2018
Mailing address1415 Rolkin Ct Ste 101, Charlottesville, VA 22911-3643

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