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IVY DENTAL INC. NPI 1417980665


NPI Information

NPI: 1417980665
Provider Name: IVY DENTAL INC.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
740 N EASTERN AVE
#120
LAS VEGAS, NV
ZIP 89101
Phone: (702) 678-6218
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IVY DENTAL INC. 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. IVY DENTAL INC. NPI is 1417980665. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

740 N EASTERN AVE
#120
LAS VEGAS, NV
ZIP 89101-850
Phone: (702) 678-6218
Fax: (702) 678-5102

The provider's authorized official is Richard Y.y. Wu .
The authorized official title is Doctor/president and has the following contact phone number (702) 678-6218.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 1/24/2008.


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 Practice3468NEVADAYes

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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