DR. NICOLE LEILA MACKIE DDS MS NPI 1205169034

NPI Information

NPI: 1205169034
Provider Name: DR. NICOLE LEILA MACKIE, DDS, MS
Classification: Dentist - 1223P0700X
Entity Type: Individual

Specialization: Prosthodontics

Address:
8840 W RUSSELL RD STE 210
LAS VEGAS, NV
ZIP 89148
Phone: (702) 463-1300
Get Directions

DR. Nicole Leila Mackie, DDS, MS is a prosthodontics dentist in Las Vegas, NV. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. DR. Nicole Leila Mackie, DDS, MS NPI is 1205169034. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8840 W RUSSELL RD STE 210
LAS VEGAS, NV
ZIP 89148-355
Phone: (702) 463-1300
Fax: (702) 463-4633

The enumeration date for this NPI number is 9/11/2009 and was last updated on 9/14/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		DN18071	FLORIDA	No
2	122300000X	Dentist		DI024233	NEW JERSEY	No
3	1223P0700X	Dentist	Prosthodontics	055160-1	NEW YORK	No
4	1223P0700X	Dentist	Prosthodontics	S543C	NEVADA	Yes

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

NPI Synchronization or Removal

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