ADA NEVADA DENTAL LLC NPI 1154084309

NPI Information

ADA NEVADA DENTAL LLC 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. ADA NEVADA DENTAL LLC NPI is 1154084309. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5230 BOULDER HWY STE 130
LAS VEGAS, NV
ZIP 89122-079
Phone: (702) 851-6724

The provider's authorized official is Gregory Walter Greenwood .
The authorized official title is Clinical Director and has the following contact phone number (504) 952-0344.

The enumeration date for this NPI number is 10/14/2021 and was last updated on 10/14/2021.

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:

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