Provider Type Icon

AQUA KIDS DENTAL INC NPI 1801087390


NPI Information

NPI: 1801087390
Provider Name: AQUA KIDS DENTAL, INC

Doing Business As: AQUA KIDS DENTAL

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
3945 S MARYLAND PKWY
SUITE A
LAS VEGAS, NV
ZIP 89119
Phone: (702) 369-8686
Get Directions

AQUA KIDS DENTAL, INC 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. AQUA KIDS DENTAL, INC NPI is 1801087390. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Aqua Kids Dental.

The provider's business location address is:

3945 S MARYLAND PKWY
SUITE A
LAS VEGAS, NV
ZIP 89119-562
Phone: (702) 369-8686
Fax: (702) 369-9503

The provider's authorized official is Gurbrinder Dhillon .
The authorized official title is Owner and has the following contact phone number (702) 369-8686.

The enumeration date for this NPI number is 8/8/2007 and was last updated on 8/8/2007.


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 DentistryS6-81NEVADAYes

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.