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MUGLESTON HENDERSON MODERN DENTISTRY PC NPI 1558620823


NPI Information

NPI: 1558620823
Provider Name: MUGLESTON HENDERSON MODERN DENTISTRY, PC

Doing Business As: HENDERSON MODERN DENTISTRY AND ORTHODONTICS

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
366 W LAKE MEAD PKWY STE 100
HENDERSON, NV
ZIP 89015
Phone: (702) 464-3090
Get Directions

MUGLESTON HENDERSON MODERN DENTISTRY, PC is a general practice dentist in Henderson, 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. MUGLESTON HENDERSON MODERN DENTISTRY, PC NPI is 1558620823. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Henderson Modern Dentistry And Orthodontics.

The provider's business location address is:

366 W LAKE MEAD PKWY STE 100
HENDERSON, NV
ZIP 89015-287
Phone: (702) 464-3090
Fax: (702) 464-3158

The provider's authorized official is Cody P Mugleston .
The authorized official title is Dds-owner and has the following contact phone number (702) 464-3090.

The enumeration date for this NPI number is 5/8/2012 and was last updated on 1/15/2014.


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 Practice4908NEVADAYes

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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