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WATANABE TOWN CENTER DENTAL GROUP PROFESSIONAL CORPORATION NPI 1104954833


NPI Information

NPI: 1104954833
Provider Name: WATANABE TOWN CENTER DENTAL GROUP, PROFESSIONAL CORPORATION

Doing Business As: MONTECITO TOWN CENTER DENTAL GROUP

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 29D2264117

Address:
7125 N DURANGO DR
LAS VEGAS, NV
ZIP 89149
Phone: (702) 658-2311
Get Directions

WATANABE TOWN CENTER DENTAL GROUP, PROFESSIONAL CORPORATION is a general practice dentist in Las Vegas, NV. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. WATANABE TOWN CENTER DENTAL GROUP, PROFESSIONAL CORPORATION NPI is 1104954833. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Montecito Town Center Dental Group.

The provider's business location address is:

7125 N DURANGO DR
LAS VEGAS, NV
ZIP 89149-466
Phone: (702) 658-2311
Fax: (702) 658-8811

The provider's authorized official is Lynda Watanabe .
The authorized official title is Owner Doctor and has the following contact phone number (702) 658-2311.

The CLIA number assigned to this NPI record is 29D2264117 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/2/2007 and was last updated on 8/2/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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