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MUGLESTON GREEN VALLEY MODERN DENTISTRY PC NPI 1740650118


NPI Information

NPI: 1740650118
Provider Name: MUGLESTON GREEN VALLEY MODERN DENTISTRY, PC

Doing Business As: GREEN VALLEY MODERN DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 29D2264033

Address:
4301 E SUNSET RD
100
HENDERSON, NV
ZIP 89014
Phone: (702) 465-8187
Get Directions

MUGLESTON GREEN VALLEY 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 GREEN VALLEY MODERN DENTISTRY, PC NPI is 1740650118. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Green Valley Modern Dentistry.

The provider's business location address is:

4301 E SUNSET RD
100
HENDERSON, NV
ZIP 89014-238
Phone: (702) 465-8187
Fax: (702) 558-9278

The provider's authorized official is Cody P Mugleston .
The authorized official title is Owner Dentist and has the following contact phone number (702) 465-8187.

The CLIA number assigned to this NPI record is 29D2264033 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/29/2015 and was last updated on 9/29/2015.


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

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