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Bluewave Dentistry

General Practice Dentistry in Leland, NC · enumerated 2018 · authorized official Kelly Davis, Practice Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124517719

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Registry record

Entity type Organization (Type 2)
Legal business name Bluewave Dentistry
Practice address 1300 S Dickinson Dr, Leland, NC, 28451
Fax (910) 383-2618
Enumeration date May 9, 2018
Last updated in NPPES May 9, 2018

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License 8379 (NC) Primary

Authorized official

Name Kelly Davis
Title Practice Manager

Other identifiers

Identifier Type State Issuer
7812 Other NC NC STATE BOARD OF DENTAL EXAMINERS
8379 Other NC NC SATE BOARD OF DENTAL EXAMINERS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-05-09. Verify at npiregistry.cms.hhs.gov.
Where is Bluewave Dentistry located?
The practice location on file with NPPES is in Leland, NC.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-05-09.