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EAST LAKE MEAD DENTAL NPI 1285890004


NPI Information

NPI: 1285890004
Provider Name: EAST LAKE MEAD DENTAL

Doing Business As: EAST LAKE MEAD DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2700 E LAKE MEAD BLVD
STE 6
NORTH LAS VEGAS, NV
ZIP 89030
Phone: (702) 649-7708
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EAST LAKE MEAD DENTAL is a general practice dentist in North 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. EAST LAKE MEAD DENTAL NPI is 1285890004. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As East Lake Mead Dental.

The provider's business location address is:

2700 E LAKE MEAD BLVD
STE 6
NORTH LAS VEGAS, NV
ZIP 89030-512
Phone: (702) 649-7708
Fax: (702) 649-8074

The provider's authorized official is David Lee .
The authorized official title is President and has the following contact phone number (702) 241-8206.

The enumeration date for this NPI number is 7/31/2008 and was last updated on 7/31/2008.


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 Practice3518NEVADAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.