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PACIFIC DENTAL SERVICES NPI 1336541101


NPI Information

NPI: 1336541101
Provider Name: PACIFIC DENTAL SERVICES
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4380 BLUE DIAMOND RD STE 102
LAS VEGAS, NV
ZIP 89139
Phone: (702) 425-4424
Get Directions

PACIFIC DENTAL SERVICES 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. PACIFIC DENTAL SERVICES NPI is 1336541101. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4380 BLUE DIAMOND RD STE 102
LAS VEGAS, NV
ZIP 89139-786
Phone: (702) 425-4424

The provider's authorized official is Bryce Spencer Haslam .
The authorized official title is General Dentist and has the following contact phone number (702) 425-4424.

The enumeration date for this NPI number is 9/23/2014 and was last updated on 9/23/2014.


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 Practice6531NEVADAYes

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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