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H&B PEDIATRIC DENTISTRY LLC NPI 1609377373


NPI Information

NPI: 1609377373
Provider Name: H&B PEDIATRIC DENTISTRY LLC

Doing Business As: MOUNTAIN'S EDGE PEDIATRIC DENTISTRY

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

CLIA Number: 29D1083819

Address:
8520 BLUE DIAMOND RD STE 130
LAS VEGAS, NV
ZIP 89178
Phone: (702) 496-6777
Get Directions

H&B PEDIATRIC DENTISTRY LLC is a pediatric dentistry dentist in Las Vegas, NV. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. H&B PEDIATRIC DENTISTRY LLC NPI is 1609377373. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mountain's Edge Pediatric Dentistry.

The provider's business location address is:

8520 BLUE DIAMOND RD STE 130
LAS VEGAS, NV
ZIP 89178-297
Phone: (702) 496-6777

The provider's authorized official is Todd James Baggaley .
The authorized official title is Managing Member and has the following contact phone number (702) 496-6777.

The CLIA number assigned to this NPI record is 29D1083819 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/27/2018 and was last updated on 2/27/2018.


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
11223P0221XDentistPediatric DentistryS6-107NEVADAYes

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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