Charlottesville Oral Surgery And Dental Implant Center, Llc
Oral and Maxillofacial Dental Clinic
1415 Rolkin Ct Ste 101, Charlottesville
Virginia, 22911-3643
434-295-0911 Maps & DirectionsCharlottesville Oral Surgery And Dental Implant Center, Llc is a Oral and Maxillofacial Dental Clinic in Charlottesville, Virginia. It is located at 1415 Rolkin Ct Ste 101, Charlottesville, VA and its contact number is 434-295-0911. The authorized person for Charlottesville Oral Surgery And Dental Implant Center, Llc is Dr. Carlos Ibanez
who is President of the clinic and their contact number is 434-823-7711. The primary license number for Charlottesville Oral Surgery And Dental Implant Center, Llc is 0438000261 (Oral and Maxillofacial Surgery) in Virginia.
Charlottesville Oral Surgery And Dental Implant Center, Llc Clinic deals with 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.
Complete Clinic Profile:
Charlottesville Oral Surgery And Dental Implant Center, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Charlottesville Oral Surgery And Dental Implant Center, Llc |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 1415 Rolkin Ct Ste 101, Charlottesville,
Virginia, 22911-3643 |
| Phone: | 434-295-0911 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Carlos Ibanez |
| Position: | President |
| Contact Number: | 434-823-7711 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Charlottesville Oral Surgery And Dental Implant Center, Llc clinic are as mentioned below.
| NPI Number: | 1972740454 |
| NPI Enumeration Date: | 20 Jan, 2009 |
| NPI Last Update On: | 14 Nov, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charlottesville Oral Surgery And Dental Implant Center, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | 0438000261 | Virginia | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2105438 | Medicaid | New York | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Charlottesville Oral Surgery And Dental Implant Center, Llc
1415 Rolkin Ct Ste 101,
Charlottesville, Virginia |
| Zip: | 22911-3643 |
| Phone Number: | 434-295-0911 |
Patients can reach Charlottesville Oral Surgery And Dental Implant Center, Llc at
1415 Rolkin Ct Ste 101, Charlottesville, Virginia or can
call to book an appointment on 434-295-0911.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.