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WATANABE RANCH PLAZA DENTAL GROUP PC NPI 1528260163


NPI Information

NPI: 1528260163
Provider Name: WATANABE RANCH PLAZA DENTAL GROUP, PC

Doing Business As: RANCH PLAZA DENTAL GROUP

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 29D2263874

Address:
9771 SE AVE
SUITE 100
LAS VEGAS, NV
ZIP 89123
Phone: (702) 616-9655
Get Directions

WATANABE RANCH PLAZA DENTAL GROUP, PC 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. WATANABE RANCH PLAZA DENTAL GROUP, PC NPI is 1528260163. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ranch Plaza Dental Group.

The provider's business location address is:

9771 SE AVE
SUITE 100
LAS VEGAS, NV
ZIP 89123
Phone: (702) 616-9655
Fax: (702) 837-1302

The provider's authorized official is Patrick Anghel .
The authorized official title is Owner Doctor and has the following contact phone number (702) 616-9655.

The CLIA number assigned to this NPI record is 29D2263874 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/5/2007 and was last updated on 4/13/2022.


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 PracticeYes

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

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.