SOUTHERN NEVADA SPECIALTY PRADA PLLC NPI 1275998270

NPI Information

NPI: 1275998270
Provider Name: SOUTHERN NEVADA SPECIALTY PRADA, PLLC

Doing Business As: ABSOLUTE DENTAL & ORTHODONTICS

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
8380 W CHEYENNE AVE
#104
LAS VEGAS, NV
ZIP 89129
Phone: (702) 733-0888
Get Directions

SOUTHERN NEVADA SPECIALTY PRADA, PLLC is a pediatric dentistry dentist in Las Vegas, NV. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. SOUTHERN NEVADA SPECIALTY PRADA, PLLC NPI is 1275998270. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Absolute Dental & Orthodontics.

The provider's business location address is:

8380 W CHEYENNE AVE
#104
LAS VEGAS, NV
ZIP 89129-405
Phone: (702) 733-0888
Fax: (702) 395-8718

The provider's authorized official is Patricia Prada .
The authorized official title is Owner and has the following contact phone number (702) 291-2031.

The enumeration date for this NPI number is 12/18/2015 and was last updated on 1/19/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223E0200X	Dentist	Endodontics	S6-33C	NEVADA	No
2	1223P0221X	Dentist	Pediatric Dentistry	S6-33C	NEVADA	Yes
3	1223S0112X	Dentist	Oral and Maxillofacial Surgery	S6-33C	NEVADA	No
4	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics	S6-33C	NEVADA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1275998270	MEDICAID	NEVADA

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

NPI Synchronization or Removal

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